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 $691.83 / $794.33 / $1,659.59	Professional		$691.83	$794.33	$1,659.59
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 $776.25 / $812.83 / $1,380.38	Professional		$776.25	$812.83	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,513.56	Professional		$660.69	$912.01	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,479.11	Professional		$870.96	$1,174.90	$1,479.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $933.25 / $1,548.82	Professional		$724.44	$933.25	$1,548.82
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 $707.95 / $1,023.29 / $2,238.72	Professional		$707.95	$1,023.29	$2,238.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,584.89	Facility		$1,000.00	$1,000.00	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $1,621.81	Professional		$933.25	$1,096.48	$1,621.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $794.33	Facility		$407.38	$407.38	$794.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $794.33	Professional		$407.38	$512.86	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $22,387.21	Facility		$2,089.30	$3,981.07	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,445.44	Professional		$660.69	$870.96	$1,445.44