Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,248.07 / $10,232.93	Facility		$1,122.02	$5,248.07	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,905.46	Professional		$794.33	$912.01	$1,905.46
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 $891.25 / $912.01 / $1,621.81	Professional		$891.25	$912.01	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,737.80	Professional		$758.58	$1,047.13	$1,737.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,698.24	Professional		$977.24	$1,318.26	$1,698.24
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,621.81	Professional		$758.58	$1,023.29	$1,621.81
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 $812.83 / $1,148.15 / $2,570.40	Professional		$812.83	$1,148.15	$2,570.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,778.28	Facility		$776.25	$776.25	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $1,862.09	Professional		$776.25	$977.24	$1,862.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $851.14 / $2,398.83	Facility		$478.63	$851.14	$2,398.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $870.96 / $2,398.83	Professional		$478.63	$870.96	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $39,810.72	Facility		$2,454.71	$5,495.41	$39,810.72
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,659.59	Professional		$724.44	$1,000.00	$1,659.59