Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,025.60 / $9,549.93	Facility		$1,380.38	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,071.52 / $2,041.74	Professional		$933.25	$1,071.52	$2,041.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,000.00 / $57,543.99	Facility		$8,511.38	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,122.02 / $1,905.46	Professional		$1,047.13	$1,122.02	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,041.74	Professional		$912.01	$1,230.27	$2,041.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $1,905.46	Professional		$1,096.48	$1,479.11	$1,905.46
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,995.26	Professional		$933.25	$1,258.93	$1,995.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,248.07 / $9,549.93	Facility		$1,122.02	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $3,090.30	Professional		$954.99	$1,380.38	$3,090.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,089.30	Facility		$1,348.96	$1,348.96	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $2,187.76	Professional		$1,288.25	$1,348.96	$2,187.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,148.15	Facility		$691.83	$691.83	$1,148.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,148.15	Professional		$691.83	$977.24	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $22,387.21	Facility		$2,344.23	$4,466.84	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,949.84	Professional		$891.25	$1,202.26	$1,949.84