Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,981.07 / $8,317.64	Facility		$1,047.13	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $1,318.26	Professional		$501.19	$588.84	$1,318.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $588.84 / $1,023.29	Professional		$575.44	$588.84	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,122.02	Professional		$478.63	$645.65	$1,122.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,122.02	Professional		$645.65	$870.96	$1,122.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,047.13	Professional		$501.19	$676.08	$1,047.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,818.38 / $8,317.64	Facility		$954.99	$2,818.38	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,659.59	Professional		$524.81	$776.25	$1,659.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,258.93	Professional		$812.83	$1,071.52	$1,258.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $549.54	Facility		$478.63	$478.63	$549.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $588.84	Professional		$478.63	$549.54	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $6,309.57	Facility		$912.01	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $1,047.13	Professional		$457.09	$616.60	$1,047.13