Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,786.30 / $8,317.64	Facility		$1,202.26	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,380.38 / $2,570.40	Professional		$1,202.26	$1,380.38	$2,570.40
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 $1,348.96 / $1,412.54 / $2,511.89	Professional		$1,348.96	$1,412.54	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,445.44 / $2,691.53	Professional		$691.83	$1,445.44	$2,691.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,511.89	Professional		$1,445.44	$1,949.84	$2,511.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,548.82 / $2,041.74	Professional		$776.25	$1,548.82	$2,041.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $8,317.64	Facility		$1,023.29	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $3,801.89	Professional		$1,202.26	$1,778.28	$3,801.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $2,754.23	Facility		$933.25	$933.25	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,754.23	Professional		$870.96	$1,174.90	$2,754.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,380.38	Facility		$478.63	$478.63	$1,380.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,258.93 / $1,380.38	Professional		$478.63	$1,258.93	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $22,387.21	Facility		$2,344.23	$4,466.84	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,445.44 / $2,570.40	Professional		$794.33	$1,445.44	$2,570.40