Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,025.60 / $9,549.93	Facility		$1,288.25	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $1,445.44	Professional		$489.78	$588.84	$1,445.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,380.38	Professional		$812.83	$954.99	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,174.90	Professional		$537.03	$724.44	$1,174.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $891.25	Professional		$630.96	$812.83	$891.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,122.02	Professional		$537.03	$724.44	$1,122.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,248.07 / $9,549.93	Facility		$1,047.13	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $691.83 / $1,862.09	Professional		$501.19	$691.83	$1,862.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,202.26	Facility		$812.83	$812.83	$1,202.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,202.26	Professional		$676.08	$912.01	$1,202.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $660.69 / $758.58	Facility		$575.44	$660.69	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $616.60 / $758.58	Professional		$575.44	$616.60	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $15,488.17	Facility		$2,344.23	$4,466.84	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,148.15	Professional		$512.86	$676.08	$1,148.15