Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,513.56 / $1,513.56	Facility		$398.11	$1,513.56	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $446.68 / $758.58	Professional		$346.74	$446.68	$758.58
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 $489.78 / $724.44 / $912.01	Professional		$489.78	$724.44	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $794.33	Facility		$501.19	$501.19	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $524.81	Professional		$363.08	$363.08	$524.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $1,479.11	Professional		$724.44	$1,023.29	$1,479.11
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $588.84 / $912.01	Professional		$537.03	$588.84	$912.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $1,513.56	Facility		$398.11	$398.11	$1,513.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $891.25	Professional		$371.54	$457.09	$891.25
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 / $1,047.13 / $1,513.56	Professional		$0.60	$1,047.13	$1,513.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $851.14	Facility		$426.58	$426.58	$851.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $467.74 / $851.14	Professional		$426.58	$467.74	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,047.13 / $1,258.93	Facility		$346.74	$1,047.13	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $794.33	Professional		$371.54	$478.63	$794.33