Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $25,118.86	Facility		$1,047.13	$1,047.13	$25,118.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $3,311.31	Professional		$891.25	$1,174.90	$3,311.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $1,905.46	Professional		$912.01	$1,318.26	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,258.93 / $2,041.74	Professional		$812.83	$1,258.93	$2,041.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $1,862.09	Professional		$1,258.93	$1,621.81	$1,862.09
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,318.26 / $1,819.70	Professional		$776.25	$1,318.26	$1,819.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $21,877.62 / $25,118.86	Facility		$1,047.13	$21,877.62	$25,118.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,513.56 / $3,235.94	Professional		$912.01	$1,513.56	$3,235.94
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $2,041.74	Facility		$831.76	$831.76	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,819.70 / $2,137.96	Professional		$831.76	$1,819.70	$2,137.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,000.00	Facility		$977.24	$977.24	$1,000.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $1,071.52	Professional		$691.83	$1,000.00	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,570.88 / $9,549.93	Facility		$2,290.87	$4,570.88	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,041.74	Professional		$870.96	$1,174.90	$2,041.74