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 $588.84 / $724.44 / $1,659.59	Professional		$588.84	$724.44	$1,659.59
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $691.83	Professional		$588.84	$676.08	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,412.54 / $4,677.35	Facility		$489.78	$1,412.54	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,380.38	Professional		$537.03	$758.58	$1,380.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,318.26	Professional		$707.95	$954.99	$1,318.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,148.15	Professional		$588.84	$691.83	$1,148.15
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 $602.56 / $891.25 / $2,041.74	Professional		$602.56	$891.25	$2,041.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $812.83 / $1,380.38	Facility		$724.44	$812.83	$1,380.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,122.02 / $1,380.38	Professional		$724.44	$1,122.02	$1,380.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $660.69	Facility		$416.87	$416.87	$660.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $416.87 / $676.08	Professional		$407.38	$416.87	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,630.78 / $10,471.29	Facility		$1,258.93	$3,630.78	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,202.26	Professional		$549.54	$724.44	$1,202.26