Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,096.48 / $1,698.24	Facility		$436.52	$1,096.48	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $323.59 / $389.05	Professional		$147.91	$323.59	$389.05
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 $316.23 / $316.23 / $407.38	Professional		$316.23	$316.23	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $645.65 / $1,380.38	Facility		$354.81	$645.65	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $891.25	Professional		$426.58	$549.54	$891.25
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $407.38 / $724.44	Professional		$186.21	$407.38	$724.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,023.29 / $1,698.24	Facility		$478.63	$1,023.29	$1,698.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $331.13 / $1,023.29	Professional		$134.90	$331.13	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $446.68	Facility		$407.38	$407.38	$446.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $446.68	Professional		$407.38	$407.38	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $489.78	Facility		$407.38	$407.38	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $407.38	Professional		$104.71	$147.91	$407.38