Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $8,511.38	Facility		$1,288.25	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $2,238.72	Professional		$933.25	$1,071.52	$2,238.72
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 $1,023.29 / $1,122.02 / $1,862.09	Professional		$1,023.29	$1,122.02	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,041.74	Professional		$891.25	$1,230.27	$2,041.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,949.84	Professional		$1,122.02	$1,513.56	$1,949.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,995.26	Professional		$954.99	$1,258.93	$1,995.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $3,019.95	Professional		$954.99	$1,380.38	$3,019.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,089.30	Facility		$1,513.56	$1,513.56	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $2,187.76	Professional		$1,348.96	$1,412.54	$2,187.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,318.26	Facility		$575.44	$575.44	$1,318.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $1,318.26	Professional		$575.44	$630.96	$1,318.26
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 $891.25 / $1,202.26 / $1,949.84	Professional		$891.25	$1,202.26	$1,949.84