Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $8,317.64	Facility		$831.76	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,862.09	Professional		$676.08	$776.25	$1,862.09
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 $741.31 / $776.25 / $1,288.25	Professional		$741.31	$776.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,479.11	Professional		$707.95	$912.01	$1,479.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,318.26	Professional		$776.25	$1,023.29	$1,318.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,122.02	Professional		$660.69	$870.96	$1,122.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,344.23 / $8,317.64	Facility		$724.44	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $2,187.76	Professional		$676.08	$954.99	$2,187.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,862.09	Professional		$954.99	$1,230.27	$1,862.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $741.31 / $794.33	Facility		$478.63	$741.31	$794.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $741.31 / $794.33	Professional		$478.63	$741.31	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $676.08 / $4,265.80	Facility		$144.54	$676.08	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,380.38	Professional		$616.60	$851.14	$1,380.38