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 $776.25 / $933.25 / $2,630.27	Professional		$776.25	$933.25	$2,630.27
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 $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,737.80	Professional		$812.83	$1,096.48	$1,737.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,318.26	Professional		$933.25	$1,202.26	$1,318.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,698.24	Professional		$831.76	$1,071.52	$1,698.24
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 $794.33 / $1,148.15 / $2,754.23	Professional		$794.33	$1,148.15	$2,754.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,737.80	Facility		$1,230.27	$1,230.27	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,819.70	Professional		$1,071.52	$1,380.38	$1,819.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $1,071.52	Facility		$407.38	$407.38	$1,071.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $1,071.52	Professional		$407.38	$407.38	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $16,595.87	Facility		$2,089.30	$3,981.07	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,737.80	Professional		$758.58	$1,023.29	$1,737.80