Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,071.52 / $1,071.52	Facility		$275.42	$1,071.52	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $676.08	Professional		$263.03	$346.74	$676.08
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 $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $630.96	Facility		$457.09	$457.09	$630.96
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 $575.44 / $812.83 / $1,202.26	Professional		$575.44	$812.83	$1,202.26
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $630.96	Professional		$380.19	$436.52	$630.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $1,071.52	Facility		$275.42	$275.42	$1,071.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $741.31	Professional		$263.03	$354.81	$741.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $831.76 / $1,202.26	Professional		$0.60	$831.76	$1,202.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $588.84	Facility		$426.58	$426.58	$588.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $588.84 / $660.69	Professional		$426.58	$588.84	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $831.76 / $1,000.00	Facility		$275.42	$831.76	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $602.56	Professional		$275.42	$346.74	$602.56