Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $8,317.64	Facility		$831.76	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $2,089.30	Professional		$724.44	$831.76	$2,089.30
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 $794.33 / $891.25 / $1,513.56	Professional		$794.33	$891.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,659.59	Professional		$741.31	$1,000.00	$1,659.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,412.54	Professional		$812.83	$1,071.52	$1,412.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,479.11	Professional		$707.95	$954.99	$1,479.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,344.23 / $8,317.64	Facility		$724.44	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,096.48 / $2,398.83	Professional		$741.31	$1,096.48	$2,398.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,584.89	Facility		$1,202.26	$1,202.26	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $1,737.80	Professional		$1,096.48	$1,148.15	$1,737.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $933.25 / $933.25	Facility		$776.25	$933.25	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $776.25 / $933.25	Professional		$416.87	$776.25	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,570.88 / $9,549.93	Facility		$2,290.87	$4,570.88	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,584.89	Professional		$691.83	$954.99	$1,584.89