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 $489.78 / $562.34 / $1,513.56	Professional		$489.78	$562.34	$1,513.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $588.84 / $1,023.29	Professional		$549.54	$588.84	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $660.69 / $1,071.52	Professional		$478.63	$660.69	$1,071.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,071.52	Professional		$616.60	$831.76	$1,071.52
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $1,023.29	Professional		$501.19	$645.65	$1,023.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $8,317.64	Facility		$954.99	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $758.58 / $1,737.80	Professional		$501.19	$758.58	$1,737.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,096.48	Facility		$676.08	$676.08	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,174.90	Professional		$676.08	$776.25	$1,174.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $588.84 / $645.65	Facility		$524.81	$588.84	$645.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $645.65	Professional		$467.74	$537.03	$645.65
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 $478.63 / $645.65 / $1,047.13	Professional		$478.63	$645.65	$1,047.13