Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $5,370.32 / $8,511.38	Facility		$1,096.48	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $741.31 / $1,778.28	Professional		$616.60	$741.31	$1,778.28
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 $602.56 / $870.96 / $1,258.93	Professional		$602.56	$870.96	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,348.96	Professional		$645.65	$870.96	$1,348.96
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 $660.69 / $851.14 / $1,348.96	Professional		$660.69	$851.14	$1,348.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $2,290.87	Professional		$630.96	$912.01	$2,290.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,380.38	Facility		$954.99	$954.99	$1,380.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,445.44	Professional		$831.76	$1,096.48	$1,445.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $741.31 / $851.14	Facility		$478.63	$741.31	$851.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $851.14	Professional		$645.65	$707.95	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,311.31 / $6,606.93	Facility		$1,348.96	$3,311.31	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,380.38	Professional		$588.84	$794.33	$1,380.38