Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,981.07 / $8,317.64	Facility		$1,047.13	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $501.19 / $1,202.26	Professional		$426.58	$501.19	$1,202.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $489.78 / $794.33	Professional		$416.87	$489.78	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $831.76 / $5,248.07	Facility		$489.78	$831.76	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $977.24	Professional		$363.08	$524.81	$977.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $676.08 / $933.25	Professional		$501.19	$676.08	$933.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $812.83	Professional		$398.11	$489.78	$812.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,818.38 / $8,317.64	Facility		$954.99	$2,818.38	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $645.65 / $1,513.56	Professional		$436.52	$645.65	$1,513.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $537.03 / $954.99	Facility		$457.09	$537.03	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $1,000.00	Professional		$457.09	$831.76	$1,000.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $407.38 / $1,174.90	Facility		$239.88	$407.38	$1,174.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $457.09 / $1,174.90	Professional		$281.84	$457.09	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,630.78 / $10,232.93	Facility		$1,258.93	$3,630.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $489.78 / $831.76	Professional		$371.54	$489.78	$831.76