Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $5,754.40 / $8,511.38	Facility		$870.96	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $1,737.80	Professional		$758.58	$870.96	$1,737.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $870.96 / $1,513.56	Professional		$831.76	$870.96	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $1,412.54	Facility		$489.78	$794.33	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,023.29 / $1,819.70	Professional		$645.65	$1,023.29	$1,819.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,621.81	Professional		$870.96	$1,174.90	$1,621.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,445.44	Professional		$794.33	$912.01	$1,445.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $4,265.80 / $8,317.64	Facility		$870.96	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,454.71	Professional		$758.58	$1,096.48	$2,454.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $1,905.46	Professional		$1,174.90	$1,548.82	$1,905.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $891.25	Facility		$794.33	$794.33	$891.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $812.83 / $851.14	Professional		$776.25	$812.83	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,089.30 / $6,309.57	Facility		$316.23	$2,089.30	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,548.82	Professional		$691.83	$933.25	$1,548.82