Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,317.64	Facility		$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,621.81	Professional		$660.69	$776.25	$1,621.81
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,445.44	Professional		$1,071.52	$1,202.26	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,479.11	Professional		$645.65	$891.25	$1,479.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,412.54	Professional		$812.83	$1,096.48	$1,412.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $2,398.83	Professional		$691.83	$933.25	$2,398.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $8,317.64	Facility		$954.99	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $2,187.76	Professional		$691.83	$977.24	$2,187.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,548.82	Facility		$891.25	$891.25	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,548.82	Professional		$776.25	$1,023.29	$1,548.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $741.31 / $741.31	Facility		$575.44	$741.31	$741.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $741.31 / $741.31	Professional		$309.03	$741.31	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,232.93	Facility		$1,348.96	$3,548.13	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,412.54	Professional		$645.65	$851.14	$1,412.54