Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,890.45 / $8,317.64	Facility		$1,047.13	$3,890.45	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,621.81	Professional		$660.69	$891.25	$1,621.81
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $954.99 / $1,445.44	Professional		$912.01	$954.99	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $1,659.59	Professional		$575.44	$851.14	$1,659.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,089.30	Professional		$1,202.26	$1,659.59	$2,089.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,096.48 / $1,621.81	Professional		$501.19	$1,096.48	$1,621.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,691.53 / $8,317.64	Facility		$954.99	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,290.87	Professional		$724.44	$1,047.13	$2,290.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $2,137.96	Facility		$363.08	$363.08	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $457.09 / $1,949.84	Professional		$346.74	$457.09	$1,949.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $457.09 / $933.25	Facility		$380.19	$457.09	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $758.58 / $933.25	Professional		$416.87	$758.58	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,630.27 / $5,495.41	Facility		$912.01	$2,630.27	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $870.96 / $1,513.56	Professional		$549.54	$870.96	$1,513.56