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 $676.08 / $776.25 / $1,659.59	Professional		$676.08	$776.25	$1,659.59
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 $1,071.52 / $1,096.48 / $1,288.25	Professional		$1,071.52	$1,096.48	$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 $660.69 / $912.01 / $1,513.56	Professional		$660.69	$912.01	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,348.96	Professional		$776.25	$1,047.13	$1,348.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,412.54	Professional		$676.08	$891.25	$1,412.54
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 $707.95 / $1,023.29 / $2,290.87	Professional		$707.95	$1,023.29	$2,290.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,513.56	Facility		$1,023.29	$1,023.29	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $977.24 / $1,621.81	Professional		$933.25	$977.24	$1,621.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $741.31 / $1,318.26	Facility		$575.44	$741.31	$1,318.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $776.25	Professional		$575.44	$724.44	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $10,715.19	Facility		$2,344.23	$4,365.16	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,412.54	Professional		$630.96	$870.96	$1,412.54