Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,025.60 / $9,549.93	Facility		$1,380.38	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,862.09	Professional		$758.58	$891.25	$1,862.09
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,318.26	Professional		$1,230.27	$1,230.27	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,698.24	Professional		$741.31	$1,023.29	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $1,659.59	Professional		$954.99	$1,288.25	$1,659.59
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,698.24	Professional		$794.33	$1,047.13	$1,698.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,128.61 / $9,549.93	Facility		$1,047.13	$5,128.61	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,630.27	Professional		$794.33	$1,148.15	$2,630.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,778.28	Facility		$1,122.02	$1,122.02	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,819.70	Professional		$1,071.52	$1,202.26	$1,819.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $891.25 / $891.25	Facility		$851.14	$891.25	$891.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $851.14 / $891.25	Professional		$776.25	$851.14	$891.25
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 $724.44 / $977.24 / $1,621.81	Professional		$724.44	$977.24	$1,621.81