Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $8,511.38	Facility		$1,288.25	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $724.44 / $1,905.46	Professional		$602.56	$724.44	$1,905.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $724.44 / $1,258.93	Professional		$707.95	$724.44	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,380.38	Professional		$602.56	$851.14	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,348.96	Professional		$794.33	$1,071.52	$1,348.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,380.38	Professional		$645.65	$851.14	$1,380.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $2,238.72	Professional		$630.96	$954.99	$2,238.72
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,412.54	Facility		$831.76	$831.76	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $831.76 / $1,445.44	Professional		$707.95	$831.76	$1,445.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $676.08	Facility		$416.87	$416.87	$676.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $467.74 / $691.83	Professional		$416.87	$467.74	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,000.00	Facility		$2,089.30	$3,981.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $831.76 / $1,318.26	Professional		$575.44	$831.76	$1,318.26