Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,025.60 / $9,549.93	Facility		$1,288.25	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,659.59	Professional		$741.31	$851.14	$1,659.59
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 $831.76 / $891.25 / $1,513.56	Professional		$831.76	$891.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,621.81	Professional		$741.31	$977.24	$1,621.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,548.82	Professional		$912.01	$1,202.26	$1,548.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,621.81	Professional		$758.58	$1,000.00	$1,621.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,248.07 / $9,549.93	Facility		$1,047.13	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,454.71	Professional		$776.25	$1,122.02	$2,454.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,698.24	Facility		$1,174.90	$1,174.90	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,148.15 / $1,659.59	Professional		$1,096.48	$1,148.15	$1,659.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $691.83 / $954.99	Facility		$588.84	$691.83	$954.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $912.01	Professional		$588.84	$691.83	$912.01
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 $707.95 / $954.99 / $1,548.82	Professional		$707.95	$954.99	$1,548.82