Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,248.07 / $10,232.93	Facility		$1,202.26	$5,248.07	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $1,174.90	Professional		$426.58	$512.86	$1,174.90
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 $512.86 / $524.81 / $870.96	Professional		$512.86	$524.81	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $977.24	Professional		$436.52	$575.44	$977.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,023.29	Professional		$588.84	$794.33	$1,023.29
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $891.25	Professional		$457.09	$616.60	$891.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $10,000.00	Facility		$1,023.29	$4,265.80	$10,000.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,621.81	Professional		$467.74	$660.69	$1,621.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,047.13	Facility		$602.56	$602.56	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,023.29	Professional		$501.19	$724.44	$1,023.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $489.78	Facility		$426.58	$426.58	$489.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $489.78 / $524.81	Professional		$426.58	$489.78	$524.81
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 $416.87 / $549.54 / $933.25	Professional		$416.87	$549.54	$933.25