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 $645.65 / $758.58 / $1,584.89	Professional		$645.65	$758.58	$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 $724.44 / $758.58 / $1,258.93	Professional		$724.44	$758.58	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $1,445.44	Professional		$630.96	$851.14	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,445.44	Professional		$831.76	$1,122.02	$1,445.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,412.54	Professional		$660.69	$870.96	$1,412.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,786.30 / $8,317.64	Facility		$831.76	$4,786.30	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $2,089.30	Professional		$676.08	$977.24	$2,089.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,513.56	Facility		$870.96	$870.96	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $1,479.11	Professional		$831.76	$1,047.13	$1,479.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $724.44	Facility		$707.95	$707.95	$724.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $724.44 / $758.58	Professional		$407.38	$724.44	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,128.61 / $10,471.29	Facility		$2,454.71	$5,128.61	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,348.96	Professional		$616.60	$812.83	$1,348.96