Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,288.25 / $1,288.25	Facility		$331.13	$1,288.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $389.05 / $660.69	Professional		$295.12	$389.05	$660.69
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 $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $676.08	Facility		$416.87	$416.87	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $446.68	Professional		$309.03	$309.03	$446.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $891.25 / $1,288.25	Professional		$630.96	$891.25	$1,288.25
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $489.78 / $758.58	Professional		$457.09	$489.78	$758.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $1,288.25	Facility		$331.13	$331.13	$1,288.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $398.11 / $676.08	Professional		$309.03	$398.11	$676.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $912.01 / $1,318.26	Professional		$0.60	$912.01	$1,318.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $707.95	Facility		$512.86	$512.86	$707.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $707.95	Professional		$478.63	$512.86	$707.95
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 $323.59 / $407.38 / $676.08	Professional		$323.59	$407.38	$676.08