Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,370.32 / $8,511.38	Facility		$758.58	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,548.82	Professional		$630.96	$758.58	$1,548.82
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 $616.60 / $912.01 / $1,318.26	Professional		$616.60	$912.01	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,412.54	Professional		$660.69	$891.25	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,047.13	Professional		$741.31	$954.99	$1,047.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,380.38	Professional		$676.08	$912.01	$1,380.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,265.80 / $8,317.64	Facility		$758.58	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $851.14 / $1,905.46	Professional		$660.69	$851.14	$1,905.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,412.54	Facility		$1,122.02	$1,122.02	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $1,479.11	Professional		$912.01	$1,071.52	$1,479.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $1,000.00	Facility		$208.93	$208.93	$1,000.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $588.84 / $1,000.00	Professional		$208.93	$588.84	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $16,595.87	Facility		$2,344.23	$4,466.84	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,445.44	Professional		$630.96	$831.76	$1,445.44