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 $758.58 / $912.01 / $2,187.76	Professional		$758.58	$912.01	$2,187.76
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 $1,230.27 / $1,230.27 / $1,348.96	Professional		$1,230.27	$1,230.27	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,698.24	Professional		$776.25	$1,023.29	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,737.80	Professional		$1,023.29	$1,380.38	$1,737.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,698.24	Professional		$812.83	$1,096.48	$1,698.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $8,317.64	Facility		$954.99	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,630.27	Professional		$812.83	$1,148.15	$2,630.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,862.09	Facility		$1,071.52	$1,071.52	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,778.28	Professional		$1,071.52	$1,258.93	$1,778.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $575.44 / $870.96	Facility		$478.63	$575.44	$870.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $870.96	Professional		$478.63	$588.84	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,000.00	Facility		$1,348.96	$3,548.13	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,584.89	Professional		$724.44	$977.24	$1,584.89