Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $5,754.40 / $8,511.38	Facility		$851.14	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,995.26	Professional		$812.83	$954.99	$1,995.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,698.24	Professional		$851.14	$1,230.27	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,905.46	Professional		$870.96	$1,174.90	$1,905.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $1,445.44	Professional		$1,023.29	$1,318.26	$1,445.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $1,862.09	Professional		$912.01	$1,174.90	$1,862.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,265.80 / $8,317.64	Facility		$851.14	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $2,630.27	Professional		$812.83	$1,122.02	$2,630.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,737.80 / $2,041.74	Professional		$1,258.93	$1,737.80	$2,041.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $954.99	Facility		$851.14	$851.14	$954.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $954.99 / $1,000.00	Professional		$416.87	$954.99	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $6,760.83	Facility		$660.69	$2,570.40	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,862.09	Professional		$831.76	$1,122.02	$1,862.09