Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,786.30 / $8,317.64	Facility		$1,096.48	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $1,412.54	Professional		$549.54	$645.65	$1,412.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $57,543.99	Facility		$14,125.38	$14,125.38	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $954.99	Professional		$891.25	$891.25	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,258.93	Professional		$549.54	$741.31	$1,258.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,230.27	Professional		$707.95	$954.99	$1,230.27
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,258.93	Professional		$588.84	$776.25	$1,258.93
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 $575.44 / $870.96 / $1,819.70	Professional		$575.44	$870.96	$1,819.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,288.25	Facility		$794.33	$794.33	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,318.26	Professional		$776.25	$891.25	$1,318.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $660.69	Facility		$467.74	$467.74	$660.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $660.69	Professional		$467.74	$588.84	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,128.61 / $10,471.29	Facility		$2,454.71	$5,128.61	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,174.90	Professional		$537.03	$724.44	$1,174.90