Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,248.07 / $8,511.38	Facility		$1,258.93	$5,248.07	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,949.84	Professional		$707.95	$831.76	$1,949.84
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 $812.83 / $831.76 / $1,445.44	Professional		$812.83	$831.76	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,584.89	Professional		$691.83	$954.99	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,548.82	Professional		$891.25	$1,202.26	$1,548.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,584.89	Professional		$741.31	$977.24	$1,584.89
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 $741.31 / $1,096.48 / $2,344.23	Professional		$741.31	$1,096.48	$2,344.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,621.81	Facility		$1,047.13	$1,047.13	$1,621.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,122.02 / $1,698.24	Professional		$954.99	$1,122.02	$1,698.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $794.33	Facility		$588.84	$588.84	$794.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $831.76	Professional		$416.87	$691.83	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $22,387.21	Facility		$2,454.71	$5,495.41	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,513.56	Professional		$676.08	$912.01	$1,513.56