Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,230.27 / $1,230.27	Facility		$316.23	$1,230.27	$1,230.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $691.83	Professional		$302.00	$380.19	$691.83
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 $707.95 / $707.95 / $707.95	Professional		$707.95	$707.95	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $724.44	Facility		$457.09	$457.09	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $457.09	Professional		$331.13	$331.13	$457.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $954.99 / $1,380.38	Professional		$660.69	$954.99	$1,380.38
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $501.19 / $724.44	Professional		$436.52	$501.19	$724.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $1,230.27	Facility		$316.23	$316.23	$1,230.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $741.31	Professional		$302.00	$407.38	$741.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $977.24 / $1,412.54	Professional		$0.60	$977.24	$1,412.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $676.08	Facility		$338.84	$338.84	$676.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $676.08	Professional		$338.84	$338.84	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $954.99 / $1,148.15	Facility		$316.23	$954.99	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $691.83	Professional		$316.23	$398.11	$691.83