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 $602.56 / $691.83 / $1,513.56	Professional		$602.56	$691.83	$1,513.56
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 $676.08 / $707.95 / $1,148.15	Professional		$676.08	$707.95	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,348.96	Professional		$588.84	$794.33	$1,348.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,318.26	Professional		$758.58	$1,023.29	$1,318.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $831.76 / $1,318.26	Professional		$645.65	$831.76	$1,318.26
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 $616.60 / $912.01 / $1,995.26	Professional		$616.60	$912.01	$1,995.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,380.38	Facility		$870.96	$870.96	$1,380.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,288.25	Professional		$776.25	$891.25	$1,288.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $478.63 / $741.31	Facility		$416.87	$478.63	$741.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $707.95	Professional		$478.63	$645.65	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $10,471.29	Facility		$2,344.23	$4,365.16	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,258.93	Professional		$575.44	$758.58	$1,258.93