Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,370.32 / $8,511.38	Facility		$831.76	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $831.76 / $1,584.89	Professional		$691.83	$831.76	$1,584.89
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 $691.83 / $1,000.00 / $1,445.44	Professional		$691.83	$1,000.00	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,548.82	Professional		$724.44	$977.24	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,174.90	Professional		$831.76	$1,071.52	$1,174.90
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,513.56	Professional		$758.58	$977.24	$1,513.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,981.07 / $8,317.64	Facility		$831.76	$3,981.07	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $2,238.72	Professional		$707.95	$1,000.00	$2,238.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,548.82	Facility		$1,047.13	$1,047.13	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,621.81	Professional		$933.25	$1,230.27	$1,621.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $812.83 / $812.83	Facility		$758.58	$812.83	$812.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $812.83	Professional		$575.44	$758.58	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,548.13 / $10,964.78	Facility		$1,659.59	$3,548.13	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,584.89	Professional		$676.08	$912.01	$1,584.89