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 $549.54 / $630.96 / $1,348.96	Professional		$549.54	$630.96	$1,348.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $645.65 / $1,122.02	Professional		$630.96	$645.65	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,230.27	Professional		$537.03	$724.44	$1,230.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,202.26	Professional		$707.95	$954.99	$1,202.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,202.26	Professional		$562.34	$758.58	$1,202.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
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 $562.34 / $812.83 / $1,819.70	Professional		$562.34	$812.83	$1,819.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $1,258.93	Facility		$660.69	$660.69	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $1,318.26	Professional		$562.34	$831.76	$1,318.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $602.56	Facility		$426.58	$426.58	$602.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $616.60	Professional		$426.58	$478.63	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,000.00	Facility		$2,089.30	$3,981.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,148.15	Professional		$512.86	$707.95	$1,148.15