Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,981.07 / $8,317.64	Facility		$1,047.13	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $524.81 / $1,148.15	Professional		$436.52	$524.81	$1,148.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $537.03 / $912.01	Professional		$512.86	$537.03	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $588.84 / $1,000.00	Professional		$398.11	$588.84	$1,000.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,122.02	Professional		$645.65	$870.96	$1,122.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $676.08 / $912.01	Professional		$398.11	$676.08	$912.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,818.38 / $8,317.64	Facility		$954.99	$2,818.38	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,584.89	Professional		$446.68	$676.08	$1,584.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $1,047.13	Facility		$549.54	$549.54	$1,047.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,047.13	Professional		$467.74	$691.83	$1,047.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $512.86	Facility		$407.38	$407.38	$512.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $407.38 / $512.86	Professional		$199.53	$407.38	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,311.31 / $6,309.57	Facility		$1,348.96	$3,311.31	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $933.25	Professional		$416.87	$575.44	$933.25