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 $831.76 / $954.99 / $1,995.26	Professional		$831.76	$954.99	$1,995.26
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 $912.01 / $977.24 / $1,659.59	Professional		$912.01	$977.24	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,862.09	Professional		$870.96	$1,122.02	$1,862.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $1,737.80	Professional		$1,023.29	$1,348.96	$1,737.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,819.70	Professional		$851.14	$1,202.26	$1,819.70
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 $851.14 / $1,230.27 / $2,691.53	Professional		$851.14	$1,230.27	$2,691.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,862.09	Facility		$1,380.38	$1,380.38	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $1,862.09	Professional		$1,318.26	$1,412.54	$1,862.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,148.15	Facility		$467.74	$467.74	$1,148.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $954.99	Professional		$467.74	$676.08	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $22,387.21	Facility		$2,454.71	$5,495.41	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,737.80	Professional		$794.33	$1,122.02	$1,737.80