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 $676.08 / $776.25 / $1,862.09	Professional		$676.08	$776.25	$1,862.09
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 $758.58 / $812.83 / $1,380.38	Professional		$758.58	$812.83	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,513.56	Professional		$707.95	$912.01	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,445.44	Professional		$831.76	$1,122.02	$1,445.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,479.11	Professional		$707.95	$933.25	$1,479.11
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 $691.83 / $1,023.29 / $2,238.72	Professional		$691.83	$1,023.29	$2,238.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,548.82	Facility		$1,096.48	$1,096.48	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $1,584.89	Professional		$1,122.02	$1,174.90	$1,584.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $977.24	Facility		$407.38	$407.38	$977.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $741.31 / $1,000.00	Professional		$407.38	$741.31	$1,000.00
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 $645.65 / $912.01 / $1,412.54	Professional		$645.65	$912.01	$1,412.54