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 $467.74 / $537.03 / $1,148.15	Professional		$467.74	$537.03	$1,148.15
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 $524.81 / $549.54 / $977.24	Professional		$524.81	$549.54	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,047.13	Professional		$457.09	$630.96	$1,047.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $954.99	Professional		$562.34	$758.58	$954.99
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,000.00	Professional		$467.74	$616.60	$1,000.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,511.38	Facility		$1,023.29	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,621.81	Professional		$489.78	$691.83	$1,621.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,071.52	Facility		$676.08	$676.08	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,148.15	Professional		$588.84	$691.83	$1,148.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $549.54 / $588.84	Facility		$512.86	$549.54	$588.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $588.84	Professional		$467.74	$549.54	$588.84
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 $436.52 / $588.84 / $977.24	Professional		$436.52	$588.84	$977.24