Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $8,511.38	Facility		$1,288.25	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $2,344.23	Professional		$741.31	$851.14	$2,344.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,584.89	Professional		$724.44	$954.99	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,412.54	Professional		$1,000.00	$1,288.25	$1,412.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $1,659.59	Professional		$741.31	$1,096.48	$1,659.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $2,884.03	Professional		$758.58	$1,023.29	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $870.96	Facility		$588.84	$588.84	$870.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $891.25	Professional		$467.74	$588.84	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $8,912.51	Facility		$1,348.96	$3,548.13	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,698.24	Professional		$691.83	$933.25	$1,698.24