Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,317.64	Facility		$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $2,691.53	Professional		$602.56	$724.44	$2,691.53
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $1,819.70	Professional		$1,096.48	$1,174.90	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,412.54	Professional		$660.69	$891.25	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,071.52	Professional		$758.58	$977.24	$1,071.52
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,348.96	Professional		$660.69	$870.96	$1,348.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $8,317.64	Facility		$954.99	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $851.14 / $2,187.76	Professional		$630.96	$851.14	$2,187.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,445.44	Facility		$645.65	$645.65	$1,445.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $1,096.48 / $1,548.82	Professional		$537.03	$1,096.48	$1,548.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $316.23 / $645.65	Facility		$263.03	$316.23	$645.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $707.95	Professional		$263.03	$316.23	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $22,908.68	Facility		$2,089.30	$3,981.07	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,412.54	Professional		$630.96	$831.76	$1,412.54