Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,370.32 / $8,511.38	Facility		$1,023.29	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,659.59	Professional		$660.69	$776.25	$1,659.59
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 $1,071.52 / $1,071.52 / $1,174.90	Professional		$1,071.52	$1,071.52	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,479.11	Professional		$660.69	$891.25	$1,479.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,548.82	Professional		$891.25	$1,202.26	$1,548.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,479.11	Professional		$707.95	$954.99	$1,479.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $2,137.96	Professional		$691.83	$977.24	$2,137.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,621.81	Facility		$812.83	$812.83	$1,621.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,023.29 / $1,548.82	Professional		$912.01	$1,023.29	$1,548.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $812.83	Facility		$588.84	$588.84	$812.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $794.33	Professional		$588.84	$691.83	$794.33
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 $630.96 / $851.14 / $1,380.38	Professional		$630.96	$851.14	$1,380.38