Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,981.07 / $8,317.64	Facility		$1,047.13	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $588.84 / $1,348.96	Professional		$512.86	$588.84	$1,348.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $602.56 / $1,023.29	Professional		$575.44	$602.56	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,148.15	Professional		$501.19	$676.08	$1,148.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,122.02	Professional		$645.65	$870.96	$1,122.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,122.02	Professional		$524.81	$691.83	$1,122.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,818.38 / $8,317.64	Facility		$954.99	$2,818.38	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $1,698.24	Professional		$537.03	$794.33	$1,698.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,174.90	Facility		$724.44	$724.44	$1,174.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $831.76 / $1,202.26	Professional		$776.25	$831.76	$1,202.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $616.60	Facility		$407.38	$407.38	$616.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $416.87 / $602.56	Professional		$407.38	$416.87	$602.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,000.00	Facility		$2,089.30	$3,981.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,071.52	Professional		$489.78	$660.69	$1,071.52