Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $8,511.38	Facility		$1,288.25	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,862.09	Professional		$724.44	$870.96	$1,862.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,318.26	Professional		$1,202.26	$1,202.26	$1,318.26
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 $707.95 / $954.99 / $1,621.81	Professional		$707.95	$954.99	$1,621.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,737.80	Professional		$1,000.00	$1,348.96	$1,737.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,548.82	Professional		$794.33	$1,023.29	$1,548.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,511.38	Facility		$1,023.29	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,096.48 / $2,511.89	Professional		$776.25	$1,096.48	$2,511.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,819.70	Facility		$954.99	$954.99	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,737.80	Professional		$977.24	$1,202.26	$1,737.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $575.44 / $954.99	Facility		$467.74	$575.44	$954.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $891.25	Professional		$467.74	$575.44	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,000.00	Facility		$2,089.30	$3,981.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,548.82	Professional		$691.83	$912.01	$1,548.82