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 $691.83 / $812.83 / $1,698.24	Professional		$691.83	$812.83	$1,698.24
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 $724.44 / $1,071.52 / $1,445.44	Professional		$724.44	$1,071.52	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,621.81	Professional		$776.25	$1,023.29	$1,621.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,230.27	Professional		$870.96	$1,122.02	$1,230.27
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,584.89	Professional		$794.33	$1,023.29	$1,584.89
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 $691.83 / $977.24 / $2,454.71	Professional		$691.83	$977.24	$2,454.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,659.59	Facility		$1,000.00	$1,000.00	$1,659.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $1,737.80	Professional		$912.01	$1,258.93	$1,737.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $812.83 / $831.76	Facility		$416.87	$812.83	$831.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $812.83 / $891.25	Professional		$338.84	$812.83	$891.25
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 $741.31 / $954.99 / $1,621.81	Professional		$741.31	$954.99	$1,621.81