Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,165.95 / $9,549.93	Facility		$1,148.15	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $2,630.27	Professional		$977.24	$1,148.15	$2,630.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,548.82	Professional		$1,096.48	$1,096.48	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,187.76	Professional		$954.99	$1,348.96	$2,187.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,949.84	Professional		$1,122.02	$1,513.56	$1,949.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,041.74	Professional		$954.99	$1,288.25	$2,041.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,248.07 / $9,549.93	Facility		$1,122.02	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $3,311.31	Professional		$1,023.29	$1,513.56	$3,311.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,238.72	Facility		$1,445.44	$1,445.44	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $2,511.89	Professional		$1,288.25	$1,412.54	$2,511.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $1,230.27	Facility		$1,071.52	$1,230.27	$1,230.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,071.52 / $1,230.27	Professional		$478.63	$1,071.52	$1,230.27
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 $933.25 / $1,258.93 / $2,089.30	Professional		$933.25	$1,258.93	$2,089.30