Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $3,019.95	Facility		$1,000.00	$1,819.70	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $707.95	Professional		$436.52	$588.84	$707.95
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,000.00 / $2,187.76	Facility		$489.78	$1,000.00	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,584.89	Professional		$758.58	$977.24	$1,584.89
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,819.70	Professional		$776.25	$1,202.26	$1,819.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $3,019.95	Facility		$1,023.29	$1,819.70	$3,019.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $1,819.70	Professional		$436.52	$588.84	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $794.33 / $794.33	Facility		$724.44	$794.33	$794.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $794.33	Professional		$724.44	$724.44	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $870.96	Facility		$724.44	$724.44	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $912.01	Professional		$302.00	$436.52	$912.01