Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,370.32 / $8,511.38	Facility		$1,047.13	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $2,187.76	Professional		$933.25	$1,122.02	$2,187.76
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 $1,096.48 / $1,148.15 / $1,905.46	Professional		$1,096.48	$1,148.15	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,258.93 / $2,187.76	Professional		$933.25	$1,258.93	$2,187.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,089.30	Professional		$1,230.27	$1,659.59	$2,089.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,288.25 / $1,905.46	Professional		$851.14	$1,288.25	$1,905.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,317.64	Facility		$1,023.29	$4,786.30	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $3,090.30	Professional		$1,000.00	$1,412.54	$3,090.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,238.72	Facility		$1,348.96	$1,348.96	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $2,137.96	Professional		$1,202.26	$1,348.96	$2,137.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,096.48	Facility		$741.31	$741.31	$1,096.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,096.48	Professional		$741.31	$933.25	$1,096.48
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 $912.01 / $1,202.26 / $2,041.74	Professional		$912.01	$1,202.26	$2,041.74