Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,073.80 / $8,317.64	Facility		$1,047.13	$4,073.80	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,659.59	Professional		$676.08	$794.33	$1,659.59
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 $758.58 / $794.33 / $1,380.38	Professional		$758.58	$794.33	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $851.14 / $1,513.56	Professional		$588.84	$851.14	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,479.11	Professional		$851.14	$1,148.15	$1,479.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,202.26	Professional		$549.54	$891.25	$1,202.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,235.94 / $8,317.64	Facility		$954.99	$3,235.94	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $2,344.23	Professional		$707.95	$1,047.13	$2,344.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,548.82	Facility		$707.95	$707.95	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $707.95 / $1,621.81	Professional		$660.69	$707.95	$1,621.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $741.31	Facility		$407.38	$407.38	$741.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $741.31	Professional		$407.38	$467.74	$741.31
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 $602.56 / $831.76 / $1,412.54	Professional		$602.56	$831.76	$1,412.54