Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,760.83 / $14,454.40	Facility		$1,412.54	$6,760.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $831.76 / $1,737.80	Professional		$741.31	$831.76	$1,737.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,000.00 / $57,543.99	Facility		$8,511.38	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $870.96 / $1,479.11	Professional		$831.76	$870.96	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,621.81	Professional		$724.44	$977.24	$1,621.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,584.89	Professional		$912.01	$1,230.27	$1,584.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,621.81	Professional		$776.25	$1,000.00	$1,621.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $10,715.19	Facility		$1,122.02	$5,370.32	$10,715.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,511.89	Professional		$758.58	$1,096.48	$2,511.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,659.59	Facility		$1,174.90	$1,174.90	$1,659.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,737.80	Professional		$1,047.13	$1,148.15	$1,737.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,122.02	Facility		$691.83	$691.83	$1,122.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $851.14	Professional		$691.83	$691.83	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $39,810.72	Facility		$2,344.23	$4,466.84	$39,810.72
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,584.89	Professional		$691.83	$954.99	$1,584.89