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 $562.34 / $676.08 / $1,698.24	Professional		$562.34	$676.08	$1,698.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $1,174.90	Professional		$954.99	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,258.93	Professional		$602.56	$794.33	$1,258.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $977.24	Professional		$691.83	$891.25	$977.24
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,230.27	Professional		$616.60	$794.33	$1,230.27
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 $575.44 / $831.76 / $1,995.26	Professional		$575.44	$831.76	$1,995.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $1,258.93	Facility		$870.96	$870.96	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,318.26	Professional		$758.58	$1,000.00	$1,318.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $724.44	Facility		$416.87	$416.87	$724.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $724.44	Professional		$416.87	$616.60	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $16,595.87	Facility		$1,348.96	$3,548.13	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,258.93	Professional		$549.54	$741.31	$1,258.93