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 $602.56 / $724.44 / $1,445.44	Professional		$602.56	$724.44	$1,445.44
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 $954.99 / $954.99 / $1,023.29	Professional		$954.99	$954.99	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,412.54	Professional		$575.44	$851.14	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,288.25	Professional		$741.31	$1,023.29	$1,288.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,318.26	Professional		$616.60	$851.14	$1,318.26
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 $630.96 / $912.01 / $2,089.30	Professional		$630.96	$912.01	$2,089.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $1,412.54	Facility		$616.60	$616.60	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,548.82	Professional		$562.34	$794.33	$1,548.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $758.58	Facility		$588.84	$588.84	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $660.69	Professional		$467.74	$588.84	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $18,197.01	Facility		$1,348.96	$3,548.13	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,258.93	Professional		$537.03	$758.58	$1,258.93