Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,317.64	Facility		$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $616.60 / $1,412.54	Professional		$537.03	$616.60	$1,412.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
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 $602.56 / $630.96 / $1,071.52	Professional		$602.56	$630.96	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,202.26	Professional		$537.03	$724.44	$1,202.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,174.90	Professional		$676.08	$912.01	$1,174.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,202.26	Professional		$562.34	$758.58	$1,202.26
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 $549.54 / $831.76 / $1,778.28	Professional		$549.54	$831.76	$1,778.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,230.27	Facility		$831.76	$831.76	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $1,258.93	Professional		$794.33	$851.14	$1,258.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $707.95	Facility		$467.74	$467.74	$707.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $616.60	Professional		$467.74	$562.34	$616.60
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 $512.86 / $707.95 / $1,122.02	Professional		$512.86	$707.95	$1,122.02