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 $630.96 / $724.44 / $1,584.89	Professional		$630.96	$724.44	$1,584.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $758.58 / $1,288.25	Professional		$707.95	$758.58	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,412.54	Professional		$616.60	$851.14	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,380.38	Professional		$794.33	$1,071.52	$1,380.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,380.38	Professional		$676.08	$891.25	$1,380.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,090.30 / $8,317.64	Facility		$954.99	$3,090.30	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $2,089.30	Professional		$645.65	$954.99	$2,089.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,445.44	Facility		$1,202.26	$1,202.26	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,380.38	Professional		$1,000.00	$1,148.15	$1,380.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $691.83 / $1,000.00	Facility		$407.38	$691.83	$1,000.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $741.31	Professional		$407.38	$645.65	$741.31
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 $602.56 / $831.76 / $1,380.38	Professional		$602.56	$831.76	$1,380.38