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 $575.44 / $660.69 / $1,621.81	Professional		$575.44	$660.69	$1,621.81
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 $891.25 / $933.25 / $954.99	Professional		$891.25	$933.25	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,258.93	Professional		$562.34	$776.25	$1,258.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,202.26	Professional		$707.95	$954.99	$1,202.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,258.93	Professional		$588.84	$794.33	$1,258.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,248.07 / $9,549.93	Facility		$1,047.13	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,862.09	Professional		$588.84	$870.96	$1,862.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,288.25	Facility		$870.96	$870.96	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,380.38	Professional		$741.31	$891.25	$1,380.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $691.83 / $758.58	Facility		$467.74	$691.83	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $691.83	Professional		$467.74	$630.96	$691.83
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 $549.54 / $741.31 / $1,230.27	Professional		$549.54	$741.31	$1,230.27