Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $1,023.29 / $1,548.82	Facility		$398.11	$1,023.29	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $416.87	Professional		$223.87	$302.00	$416.87
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 $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $602.56 / $1,288.25	Facility		$363.08	$602.56	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $812.83	Professional		$398.11	$501.19	$812.83
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $954.99	Professional		$407.38	$616.60	$954.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $933.25 / $1,548.82	Facility		$398.11	$933.25	$1,548.82
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $933.25	Professional		$223.87	$309.03	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $549.54 / $630.96	Professional		$416.87	$549.54	$630.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $371.54 / $416.87	Facility		$257.04	$371.54	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $416.87	Professional		$257.04	$371.54	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $467.74	Professional		$158.49	$223.87	$467.74