Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,370.32 / $8,511.38	Facility		$1,230.27	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $660.69 / $1,412.54	Professional		$575.44	$660.69	$1,412.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $691.83 / $1,174.90	Professional		$660.69	$691.83	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $776.25 / $1,288.25	Professional		$562.34	$776.25	$1,288.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,258.93	Professional		$741.31	$977.24	$1,258.93
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,288.25	Professional		$602.56	$794.33	$1,288.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,905.46	Professional		$602.56	$851.14	$1,905.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,318.26	Facility		$891.25	$891.25	$1,318.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,380.38	Professional		$794.33	$912.01	$1,380.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $794.33	Facility		$575.44	$575.44	$794.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $616.60 / $676.08	Professional		$575.44	$616.60	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,000.00	Facility		$2,089.30	$3,981.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,230.27	Professional		$549.54	$741.31	$1,230.27