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 $707.95 / $812.83 / $1,995.26	Professional		$707.95	$812.83	$1,995.26
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 $1,096.48 / $1,096.48 / $1,202.26	Professional		$1,096.48	$1,096.48	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,548.82	Professional		$676.08	$933.25	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,513.56	Professional		$870.96	$1,174.90	$1,513.56
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,548.82	Professional		$724.44	$954.99	$1,548.82
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 $724.44 / $1,071.52 / $2,290.87	Professional		$724.44	$1,071.52	$2,290.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,584.89	Facility		$1,071.52	$1,071.52	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,584.89	Professional		$954.99	$1,096.48	$1,584.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $870.96	Facility		$478.63	$478.63	$870.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $870.96	Professional		$478.63	$478.63	$870.96
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 $676.08 / $912.01 / $1,479.11	Professional		$676.08	$912.01	$1,479.11