Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,238.72 / $2,238.72	Facility		$575.44	$2,238.72	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,445.44	Professional		$562.34	$758.58	$1,445.44
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 $724.44 / $1,047.13 / $1,318.26	Professional		$724.44	$1,047.13	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,318.26	Facility		$912.01	$912.01	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $912.01	Professional		$660.69	$660.69	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,511.89	Professional		$1,202.26	$1,737.80	$2,511.89
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,318.26	Professional		$794.33	$912.01	$1,318.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $2,238.72	Facility		$575.44	$575.44	$2,238.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,513.56	Professional		$562.34	$776.25	$1,513.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,737.80 / $2,511.89	Professional		$0.60	$1,737.80	$2,511.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,230.27	Facility		$616.60	$616.60	$1,230.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $691.83 / $1,230.27	Professional		$616.60	$691.83	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,737.80 / $2,089.30	Facility		$575.44	$1,737.80	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,258.93	Professional		$575.44	$724.44	$1,258.93