Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,025.60 / $9,549.93	Facility		$1,288.25	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $2,398.83	Professional		$794.33	$1,096.48	$2,398.83
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 $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $1,949.84	Professional		$831.76	$1,202.26	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $1,548.82	Professional		$1,096.48	$1,412.54	$1,548.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,202.26 / $1,819.70	Professional		$912.01	$1,202.26	$1,819.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,248.07 / $9,549.93	Facility		$1,096.48	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,884.03	Professional		$870.96	$1,230.27	$2,884.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,089.30	Facility		$1,122.02	$1,122.02	$2,089.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $1,995.26	Professional		$933.25	$1,584.89	$1,995.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $977.24 / $1,148.15	Facility		$954.99	$977.24	$1,148.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $1,148.15	Professional		$954.99	$1,000.00	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $18,197.01	Facility		$2,344.23	$4,466.84	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,905.46	Professional		$794.33	$1,047.13	$1,905.46