Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,317.64	Facility		$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,023.29 / $2,238.72	Professional		$891.25	$1,023.29	$2,238.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,862.09	Professional		$1,000.00	$1,047.13	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,174.90 / $1,995.26	Professional		$776.25	$1,174.90	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $1,819.70	Professional		$1,071.52	$1,412.54	$1,819.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,584.89	Professional		$707.95	$1,122.02	$1,584.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,801.89 / $8,317.64	Facility		$1,000.00	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,348.96 / $3,162.28	Professional		$933.25	$1,348.96	$3,162.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,995.26	Facility		$1,174.90	$1,174.90	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,187.76	Professional		$1,096.48	$1,348.96	$2,187.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $977.24	Facility		$588.84	$588.84	$977.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,023.29	Professional		$588.84	$912.01	$1,023.29
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 $831.76 / $1,122.02 / $1,949.84	Professional		$831.76	$1,122.02	$1,949.84