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 $676.08 / $812.83 / $1,905.46	Professional		$676.08	$812.83	$1,905.46
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 $1,096.48 / $1,202.26 / $1,202.26	Professional		$1,096.48	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $1,318.26	Facility		$489.78	$794.33	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $891.25 / $1,621.81	Professional		$562.34	$891.25	$1,621.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,513.56	Professional		$812.83	$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 $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 $676.08 / $977.24 / $2,290.87	Professional		$676.08	$977.24	$2,290.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,023.29 / $1,412.54	Facility		$891.25	$1,023.29	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $1,584.89	Professional		$891.25	$1,318.26	$1,584.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $812.83	Facility		$407.38	$407.38	$812.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $741.31 / $812.83	Professional		$407.38	$741.31	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,122.02 / $3,890.45	Facility		$549.54	$1,122.02	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,318.26	Professional		$602.56	$812.83	$1,318.26