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 $501.19 / $602.56 / $1,348.96	Professional		$501.19	$602.56	$1,348.96
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 $575.44 / $602.56 / $1,023.29	Professional		$575.44	$602.56	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $1,148.15	Professional		$501.19	$676.08	$1,148.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,148.15	Professional		$660.69	$891.25	$1,148.15
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,096.48	Professional		$524.81	$691.83	$1,096.48
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 $524.81 / $758.58 / $1,862.09	Professional		$524.81	$758.58	$1,862.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,174.90	Facility		$707.95	$707.95	$1,174.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,288.25	Professional		$602.56	$831.76	$1,288.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $562.34	Facility		$501.19	$501.19	$562.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $575.44	Professional		$309.03	$501.19	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,467.37 / $6,025.60	Facility		$1,949.84	$3,467.37	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,096.48	Professional		$478.63	$630.96	$1,096.48