Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,089.30 / $2,089.30	Facility		$549.54	$2,089.30	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,174.90	Professional		$501.19	$676.08	$1,174.90
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 / $1,000.00 / $1,230.27	Professional		$676.08	$1,000.00	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,548.82	Facility		$933.25	$933.25	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $933.25	Professional		$676.08	$676.08	$933.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $2,951.21	Professional		$1,445.44	$2,041.74	$2,951.21
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,230.27	Professional		$741.31	$870.96	$1,230.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $2,089.30	Facility		$549.54	$549.54	$2,089.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,288.25	Professional		$524.81	$691.83	$1,288.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $2,089.30 / $3,019.95	Professional		$0.60	$2,089.30	$3,019.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,148.15	Facility		$588.84	$588.84	$1,148.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $1,318.26	Professional		$588.84	$588.84	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,584.89 / $1,905.46	Facility		$524.81	$1,584.89	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,174.90	Professional		$549.54	$741.31	$1,174.90