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 $562.34 / $645.65 / $1,348.96	Professional		$562.34	$645.65	$1,348.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $1,230.27	Professional		$630.96	$660.69	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,258.93	Professional		$562.34	$758.58	$1,258.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,230.27	Professional		$707.95	$954.99	$1,230.27
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,174.90	Professional		$524.81	$758.58	$1,174.90
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 $575.44 / $870.96 / $1,862.09	Professional		$575.44	$870.96	$1,862.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,258.93	Facility		$831.76	$831.76	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $1,445.44	Professional		$758.58	$891.25	$1,445.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $645.65	Facility		$478.63	$478.63	$645.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $630.96	Professional		$478.63	$575.44	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $22,387.21	Facility		$1,348.96	$3,548.13	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,202.26	Professional		$549.54	$741.31	$1,202.26