Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,754.40 / $8,511.38	Facility		$831.76	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,584.89	Professional		$660.69	$776.25	$1,584.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $794.33 / $1,348.96	Professional		$776.25	$794.33	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,513.56	Professional		$660.69	$870.96	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,479.11	Professional		$851.14	$1,148.15	$1,479.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,445.44	Professional		$691.83	$912.01	$1,445.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $2,187.76	Professional		$691.83	$1,000.00	$2,187.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,513.56	Facility		$977.24	$977.24	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,548.82	Professional		$912.01	$1,071.52	$1,548.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $776.25	Facility		$724.44	$724.44	$776.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $758.58	Professional		$489.78	$724.44	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $39,810.72	Facility		$2,454.71	$5,495.41	$39,810.72
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,380.38	Professional		$630.96	$851.14	$1,380.38