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 $512.86 / $616.60 / $1,548.82	Professional		$512.86	$616.60	$1,548.82
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $588.84	Professional		$501.19	$575.44	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,148.15	Professional		$537.03	$724.44	$1,148.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $870.96	Professional		$602.56	$776.25	$870.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,122.02	Professional		$562.34	$741.31	$1,122.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,818.38 / $8,317.64	Facility		$912.01	$2,818.38	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $1,862.09	Professional		$524.81	$741.31	$1,862.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,230.27	Professional		$758.58	$1,023.29	$1,230.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $562.34 / $954.99	Facility		$512.86	$562.34	$954.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $954.99	Professional		$346.74	$537.03	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $2,238.72 / $29,512.09	Facility		$467.74	$2,238.72	$29,512.09
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,174.90	Professional		$512.86	$676.08	$1,174.90