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 $691.83 / $812.83 / $1,698.24	Professional		$691.83	$812.83	$1,698.24
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 $1,122.02 / $1,122.02 / $1,202.26	Professional		$1,122.02	$1,122.02	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,513.56	Professional		$691.83	$912.01	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,584.89	Professional		$912.01	$1,258.93	$1,584.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,513.56	Professional		$741.31	$977.24	$1,513.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
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 $741.31 / $1,047.13 / $2,344.23	Professional		$741.31	$1,047.13	$2,344.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,659.59	Facility		$912.01	$912.01	$1,659.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,621.81	Professional		$912.01	$1,122.02	$1,621.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $794.33	Facility		$467.74	$467.74	$794.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $794.33	Professional		$467.74	$575.44	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $22,387.21	Facility		$2,089.30	$3,981.07	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,412.54	Professional		$645.65	$870.96	$1,412.54