Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,165.95 / $9,549.93	Facility		$1,148.15	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,905.46	Professional		$776.25	$891.25	$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 $794.33 / $1,174.90 / $1,621.81	Professional		$794.33	$1,174.90	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,778.28	Professional		$851.14	$1,122.02	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $1,380.38	Professional		$954.99	$1,230.27	$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 / $5,248.07 / $9,549.93	Facility		$1,047.13	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $2,630.27	Professional		$776.25	$1,071.52	$2,630.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,862.09	Facility		$1,122.02	$1,122.02	$1,862.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,819.70	Professional		$1,047.13	$1,412.54	$1,819.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $891.25	Facility		$870.96	$870.96	$891.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $933.25	Professional		$691.83	$891.25	$933.25
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 $831.76 / $1,071.52 / $1,778.28	Professional		$831.76	$1,071.52	$1,778.28