Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,165.95 / $9,549.93	Facility		$1,288.25	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $2,041.74	Professional		$691.83	$831.76	$2,041.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $57,543.99	Facility		$14,125.38	$14,125.38	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,288.25	Professional		$676.08	$676.08	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $794.33 / $1,318.26	Facility		$691.83	$794.33	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,621.81	Professional		$616.60	$891.25	$1,621.81
Emblem 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
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $1,513.56	Professional		$794.33	$1,096.48	$1,513.56
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $812.83 / $1,318.26	Professional		$707.95	$812.83	$1,318.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,370.32 / $9,549.93	Facility		$1,047.13	$5,370.32	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $2,398.83	Professional		$707.95	$1,023.29	$2,398.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $954.99 / $1,548.82	Facility		$851.14	$954.99	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,348.96 / $1,621.81	Professional		$851.14	$1,348.96	$1,621.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $977.24 / $977.24	Facility		$758.58	$977.24	$977.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $977.24	Professional		$467.74	$758.58	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,011.87 / $17,782.79	Facility		$1,819.70	$5,011.87	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,380.38	Professional		$630.96	$831.76	$1,380.38