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 $660.69 / $851.14 / $1,737.80	Professional		$660.69	$851.14	$1,737.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $933.25 / $1,380.38	Professional		$891.25	$933.25	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,659.59	Professional		$630.96	$912.01	$1,659.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,862.09	Professional		$1,096.48	$1,479.11	$1,862.09
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,513.56	Professional		$707.95	$1,122.02	$1,513.56
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 $724.44 / $1,071.52 / $2,511.89	Professional		$724.44	$1,071.52	$2,511.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,698.24	Facility		$831.76	$831.76	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,737.80	Professional		$794.33	$1,000.00	$1,737.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $478.63 / $2,398.83	Facility		$407.38	$478.63	$2,398.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $977.24	Professional		$407.38	$478.63	$977.24
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 / $891.25 / $1,584.89	Professional		$676.08	$891.25	$1,584.89