Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $977.24 / $1,479.11	Facility		$467.74	$977.24	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $346.74	Professional		$213.80	$288.40	$346.74
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $575.44 / $1,230.27	Facility		$346.74	$575.44	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $478.63 / $776.25	Professional		$371.54	$478.63	$776.25
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $891.25	Professional		$389.05	$588.84	$891.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $891.25 / $1,479.11	Facility		$489.78	$891.25	$1,479.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $295.12 / $891.25	Professional		$213.80	$295.12	$891.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $389.05 / $389.05	Facility		$354.81	$389.05	$389.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $407.38	Professional		$354.81	$354.81	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $426.58	Facility		$354.81	$354.81	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $213.80 / $446.68	Professional		$147.91	$213.80	$446.68