Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,754.40 / $8,511.38	Facility		$1,047.13	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,187.76	Professional		$870.96	$1,047.13	$2,187.76
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 $870.96 / $1,258.93 / $1,819.70	Professional		$870.96	$1,258.93	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,949.84	Professional		$912.01	$1,230.27	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $1,479.11	Professional		$1,047.13	$1,348.96	$1,479.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,905.46	Professional		$954.99	$1,230.27	$1,905.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $8,317.64	Facility		$1,023.29	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,258.93 / $2,951.21	Professional		$870.96	$1,258.93	$2,951.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,949.84	Facility		$1,380.38	$1,380.38	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,041.74	Professional		$1,202.26	$1,548.82	$2,041.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,174.90	Facility		$954.99	$1,174.90	$1,174.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,174.90	Professional		$691.83	$954.99	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $6,760.83	Facility		$660.69	$2,570.40	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,995.26	Professional		$851.14	$1,148.15	$1,995.26