Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,025.60 / $9,549.93	Facility		$1,380.38	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $2,238.72	Professional		$758.58	$1,000.00	$2,238.72
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 $1,412.54 / $1,412.54 / $1,412.54	Professional		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,819.70	Professional		$794.33	$1,122.02	$1,819.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,513.56	Professional		$1,071.52	$1,380.38	$1,513.56
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,819.70	Professional		$831.76	$1,148.15	$1,819.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,128.61 / $9,549.93	Facility		$1,047.13	$5,128.61	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,630.27	Professional		$870.96	$1,148.15	$2,630.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,949.84	Facility		$794.33	$794.33	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,584.89 / $1,949.84	Professional		$794.33	$1,584.89	$1,949.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $891.25	Facility		$691.83	$691.83	$891.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $912.01	Professional		$691.83	$691.83	$912.01
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 $707.95 / $954.99 / $1,698.24	Professional		$707.95	$954.99	$1,698.24