Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $6,025.60 / $8,709.64	Facility		$851.14	$6,025.60	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,584.89	Professional		$691.83	$812.83	$1,584.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $812.83 / $1,348.96	Professional		$794.33	$812.83	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,548.82	Professional		$676.08	$933.25	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $1,621.81	Professional		$933.25	$1,258.93	$1,621.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,513.56	Professional		$741.31	$977.24	$1,513.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,786.30 / $8,511.38	Facility		$851.14	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,023.29 / $2,238.72	Professional		$724.44	$1,023.29	$2,238.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,698.24	Facility		$891.25	$891.25	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,621.81	Professional		$912.01	$1,023.29	$1,621.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $851.14	Facility		$245.47	$245.47	$851.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $758.58 / $831.76	Professional		$245.47	$758.58	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,548.13 / $10,000.00	Facility		$1,659.59	$3,548.13	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,445.44	Professional		$660.69	$891.25	$1,445.44