Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,317.64	Facility		$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,819.70	Professional		$741.31	$870.96	$1,819.70
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 / $1,288.25 / $1,412.54	Professional		$1,202.26	$1,288.25	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,659.59	Professional		$741.31	$977.24	$1,659.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $1,698.24	Professional		$977.24	$1,348.96	$1,698.24
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,621.81	Professional		$794.33	$1,047.13	$1,621.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $8,317.64	Facility		$1,023.29	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $2,454.71	Professional		$794.33	$1,122.02	$2,454.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,778.28	Facility		$977.24	$977.24	$1,778.28
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 / $467.74 / $851.14	Facility		$467.74	$467.74	$851.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $851.14	Professional		$467.74	$691.83	$851.14
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 / $933.25 / $1,513.56	Professional		$691.83	$933.25	$1,513.56