Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,174.90 / $1,174.90	Facility		$302.00	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $575.44	Professional		$245.47	$346.74	$575.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $588.84	Facility		$489.78	$489.78	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $489.78	Professional		$363.08	$363.08	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,096.48	Professional		$537.03	$758.58	$1,096.48
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $457.09 / $691.83	Professional		$407.38	$457.09	$691.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,174.90	Facility		$302.00	$302.00	$1,174.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $645.65	Professional		$245.47	$363.08	$645.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $776.25 / $1,122.02	Professional		$0.60	$776.25	$1,122.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $645.65	Facility		$323.59	$323.59	$645.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $645.65	Professional		$323.59	$323.59	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $776.25 / $933.25	Facility		$257.04	$776.25	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $602.56	Professional		$275.42	$371.54	$602.56