Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,265.80 / $8,317.64	Facility		$1,047.13	$4,265.80	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,862.09	Professional		$776.25	$891.25	$1,862.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $1,584.89	Professional		$870.96	$933.25	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,698.24	Professional		$741.31	$1,023.29	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,659.59	Professional		$954.99	$1,288.25	$1,659.59
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,698.24	Professional		$794.33	$1,047.13	$1,698.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $8,317.64	Facility		$954.99	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,691.53	Professional		$794.33	$1,148.15	$2,691.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,778.28	Facility		$1,174.90	$1,174.90	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $1,819.70	Professional		$1,047.13	$1,202.26	$1,819.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $954.99	Facility		$467.74	$467.74	$954.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $812.83 / $954.99	Professional		$467.74	$812.83	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $22,387.21	Facility		$2,454.71	$5,495.41	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,621.81	Professional		$741.31	$977.24	$1,621.81