Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,317.64	Facility		$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,819.70	Professional		$630.96	$776.25	$1,819.70
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 $1,071.52 / $1,174.90 / $1,174.90	Professional		$1,071.52	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,412.54	Professional		$676.08	$891.25	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,096.48	Professional		$776.25	$1,000.00	$1,096.48
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,348.96	Professional		$707.95	$891.25	$1,348.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $8,317.64	Facility		$954.99	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $2,344.23	Professional		$645.65	$933.25	$2,344.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,412.54	Facility		$1,023.29	$1,023.29	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $1,479.11	Professional		$933.25	$1,122.02	$1,479.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $812.83 / $1,318.26	Facility		$575.44	$812.83	$1,318.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $812.83 / $1,318.26	Professional		$575.44	$812.83	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,964.78	Facility		$2,089.30	$3,981.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $1,445.44	Professional		$616.60	$831.76	$1,445.44