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 $616.60 / $724.44 / $1,513.56	Professional		$616.60	$724.44	$1,513.56
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 $707.95 / $741.31 / $1,258.93	Professional		$707.95	$741.31	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,380.38	Professional		$575.44	$812.83	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,348.96	Professional		$776.25	$1,047.13	$1,348.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,318.26	Professional		$630.96	$831.76	$1,318.26
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 $645.65 / $933.25 / $2,041.74	Professional		$645.65	$933.25	$2,041.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,445.44	Facility		$912.01	$912.01	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $977.24 / $1,479.11	Professional		$851.14	$977.24	$1,479.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $724.44	Facility		$467.74	$467.74	$724.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $724.44	Professional		$467.74	$467.74	$724.44
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 $575.44 / $776.25 / $1,318.26	Professional		$575.44	$776.25	$1,318.26