Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,025.60 / $9,549.93	Facility		$1,288.25	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $2,137.96	Professional		$912.01	$1,047.13	$2,137.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,905.46	Professional		$1,000.00	$1,047.13	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $1,995.26	Professional		$891.25	$1,230.27	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,905.46	Professional		$1,096.48	$1,479.11	$1,905.46
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,949.84	Professional		$933.25	$1,230.27	$1,949.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,248.07 / $9,549.93	Facility		$1,047.13	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $3,019.95	Professional		$933.25	$1,380.38	$3,019.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,041.74	Facility		$1,380.38	$1,380.38	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,187.76	Professional		$1,174.90	$1,380.38	$2,187.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,258.93	Facility		$691.83	$691.83	$1,258.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,047.13	Professional		$691.83	$954.99	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $18,197.01	Facility		$2,344.23	$4,466.84	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,949.84	Professional		$870.96	$1,174.90	$1,949.84