Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,412.54 / $1,412.54	Facility		$363.08	$1,412.54	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $758.58	Professional		$354.81	$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 $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,096.48	Facility		$645.65	$645.65	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $645.65	Professional		$478.63	$478.63	$645.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,089.30	Professional		$1,023.29	$1,445.44	$2,089.30
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $575.44 / $831.76	Professional		$489.78	$575.44	$831.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $1,412.54	Facility		$363.08	$363.08	$1,412.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $812.83	Professional		$354.81	$446.68	$812.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,479.11 / $2,137.96	Professional		$0.60	$1,479.11	$2,137.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $389.05 / $776.25	Facility		$213.80	$389.05	$776.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $389.05 / $776.25	Professional		$213.80	$389.05	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,096.48 / $1,318.26	Facility		$363.08	$1,096.48	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $812.83	Professional		$363.08	$489.78	$812.83