Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,479.11 / $1,479.11	Facility		$380.19	$1,479.11	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $436.52 / $741.31	Professional		$371.54	$436.52	$741.31
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 $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $870.96	Facility		$630.96	$630.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $630.96	Professional		$457.09	$457.09	$630.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $1,659.59	Professional		$812.83	$1,148.15	$1,659.59
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $870.96	Professional		$524.81	$616.60	$870.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $1,479.11	Facility		$380.19	$380.19	$1,479.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $776.25	Professional		$371.54	$446.68	$776.25
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 / $1,174.90 / $1,698.24	Professional		$0.60	$1,174.90	$1,698.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $812.83	Facility		$616.60	$616.60	$812.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $831.76	Professional		$616.60	$812.83	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,071.52 / $1,288.25	Facility		$354.81	$1,071.52	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $467.74 / $776.25	Professional		$389.05	$467.74	$776.25