Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $8,511.38	Facility		$1,288.25	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $2,290.87	Professional		$954.99	$1,096.48	$2,290.87
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 $1,071.52 / $1,148.15 / $1,949.84	Professional		$1,071.52	$1,148.15	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,089.30	Professional		$933.25	$1,258.93	$2,089.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $1,995.26	Professional		$1,174.90	$1,548.82	$1,995.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,288.25 / $2,089.30	Professional		$977.24	$1,288.25	$2,089.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $3,162.28	Professional		$977.24	$1,412.54	$3,162.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,137.96	Facility		$1,479.11	$1,479.11	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $2,238.72	Professional		$1,348.96	$1,445.44	$2,238.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,288.25	Facility		$575.44	$575.44	$1,288.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,096.48	Professional		$575.44	$794.33	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $39,810.72	Facility		$2,344.23	$4,466.84	$39,810.72
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,995.26	Professional		$912.01	$1,230.27	$1,995.26