Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,288.25 / $1,288.25	Facility		$338.84	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $398.11 / $676.08	Professional		$323.59	$398.11	$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 $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $794.33	Facility		$489.78	$489.78	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $489.78	Professional		$354.81	$354.81	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,513.56	Professional		$741.31	$1,047.13	$1,513.56
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $758.58	Professional		$457.09	$537.03	$758.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $1,288.25	Facility		$338.84	$338.84	$1,288.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $912.01	Professional		$323.59	$426.58	$912.01
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,071.52 / $1,548.82	Professional		$0.60	$1,071.52	$1,548.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $707.95	Facility		$354.81	$354.81	$707.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $707.95	Professional		$354.81	$354.81	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $1,023.29 / $1,230.27	Facility		$338.84	$1,023.29	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $741.31	Professional		$338.84	$426.58	$741.31