Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $5,754.40 / $8,709.64	Facility		$954.99	$5,754.40	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $2,187.76	Professional		$891.25	$1,071.52	$2,187.76
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 $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,089.30	Professional		$1,000.00	$1,318.26	$2,089.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $1,584.89	Professional		$1,122.02	$1,445.44	$1,584.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,041.74	Professional		$1,000.00	$1,288.25	$2,041.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $4,786.30 / $8,511.38	Facility		$954.99	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,951.21	Professional		$912.01	$1,230.27	$2,951.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,137.96	Facility		$1,288.25	$1,288.25	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $2,238.72	Professional		$1,096.48	$1,621.81	$2,238.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,148.15	Facility		$933.25	$1,047.13	$1,148.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,047.13 / $1,096.48	Professional		$933.25	$1,047.13	$1,096.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $6,025.60	Facility		$2,137.96	$3,090.30	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,089.30	Professional		$933.25	$1,230.27	$2,089.30