Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,606.93 / $11,220.18	Facility		$1,047.13	$6,606.93	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,905.46	Professional		$776.25	$933.25	$1,905.46
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 $1,412.54 / $1,412.54 / $1,737.80	Professional		$1,412.54	$1,412.54	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,819.70	Professional		$851.14	$1,148.15	$1,819.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,380.38	Professional		$977.24	$1,258.93	$1,380.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,737.80	Professional		$870.96	$1,122.02	$1,737.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,495.41 / $10,964.78	Facility		$1,047.13	$5,495.41	$10,964.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $2,691.53	Professional		$794.33	$1,071.52	$2,691.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,862.09	Facility		$1,096.48	$1,096.48	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $1,949.84	Professional		$1,000.00	$1,412.54	$1,949.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $870.96 / $954.99	Facility		$416.87	$870.96	$954.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $954.99	Professional		$870.96	$870.96	$954.99
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 $812.83 / $1,071.52 / $1,819.70	Professional		$812.83	$1,071.52	$1,819.70