Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,174.90 / $1,905.46	Facility		$645.65	$1,174.90	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $457.09	Professional		$263.03	$380.19	$457.09
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $645.65 / $1,380.38	Facility		$309.03	$645.65	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,023.29	Professional		$489.78	$630.96	$1,023.29
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,174.90	Professional		$501.19	$776.25	$1,174.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,174.90 / $1,905.46	Facility		$660.69	$1,174.90	$1,905.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $1,174.90	Professional		$281.84	$380.19	$1,174.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $512.86 / $512.86	Facility		$467.74	$512.86	$512.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $512.86	Professional		$407.38	$467.74	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $562.34	Facility		$467.74	$467.74	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $281.84 / $588.84	Professional		$194.98	$281.84	$588.84