Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,041.74 / $3,235.94	Facility		$912.01	$2,041.74	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $724.44	Professional		$446.68	$602.56	$724.44
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 $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,122.02 / $2,511.89	Facility		$501.19	$1,122.02	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,621.81	Professional		$776.25	$1,000.00	$1,621.81
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $1,862.09	Professional		$794.33	$1,230.27	$1,862.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,905.46 / $3,090.30	Facility		$870.96	$1,905.46	$3,090.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $602.56 / $2,630.27	Professional		$446.68	$602.56	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $467.74 / $812.83	Facility		$416.87	$467.74	$812.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $741.31 / $812.83	Professional		$416.87	$741.31	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $891.25	Facility		$741.31	$741.31	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $933.25	Professional		$309.03	$446.68	$933.25