Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,754.40 / $8,511.38	Facility		$933.25	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $2,290.87	Professional		$812.83	$933.25	$2,290.87
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 $891.25 / $933.25 / $1,659.59	Professional		$891.25	$933.25	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $1,778.28	Professional		$776.25	$1,071.52	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $1,659.59	Professional		$977.24	$1,288.25	$1,659.59
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,737.80	Professional		$812.83	$1,071.52	$1,737.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,265.80 / $8,317.64	Facility		$933.25	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,570.40	Professional		$831.76	$1,202.26	$2,570.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,862.09	Facility		$1,148.15	$1,148.15	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $1,949.84	Professional		$1,023.29	$1,202.26	$1,949.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $891.25 / $891.25	Professional		$478.63	$891.25	$891.25
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 $776.25 / $1,023.29 / $1,698.24	Professional		$776.25	$1,023.29	$1,698.24