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 $645.65 / $741.31 / $1,548.82	Professional		$645.65	$741.31	$1,548.82
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 $1,000.00 / $1,122.02 / $1,318.26	Professional		$1,000.00	$1,122.02	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,380.38	Professional		$616.60	$831.76	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,380.38	Professional		$794.33	$1,071.52	$1,380.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,380.38	Professional		$645.65	$851.14	$1,380.38
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 $660.69 / $954.99 / $2,089.30	Professional		$660.69	$954.99	$2,089.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,479.11	Facility		$831.76	$831.76	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,445.44	Professional		$724.44	$1,000.00	$1,445.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $691.83	Facility		$660.69	$660.69	$691.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $691.83 / $741.31	Professional		$407.38	$691.83	$741.31
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 $588.84 / $794.33 / $1,348.96	Professional		$588.84	$794.33	$1,348.96