Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,174.90 / $1,174.90	Facility		$302.00	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $363.08 / $602.56	Professional		$288.40	$363.08	$602.56
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 $371.54 / $549.54 / $691.83	Professional		$371.54	$549.54	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $870.96	Facility		$416.87	$416.87	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Professional		$309.03	$309.03	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,659.59	Professional		$794.33	$1,122.02	$1,659.59
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $691.83	Professional		$407.38	$478.63	$691.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,174.90	Facility		$302.00	$302.00	$1,174.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $371.54 / $630.96	Professional		$295.12	$371.54	$630.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,148.15 / $1,659.59	Professional		$0.60	$1,148.15	$1,659.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $912.01	Facility		$467.74	$467.74	$912.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $812.83	Professional		$416.87	$467.74	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $912.01 / $1,096.48	Facility		$302.00	$912.01	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $660.69	Professional		$302.00	$407.38	$660.69