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 $831.76 / $977.24 / $2,344.23	Professional		$831.76	$977.24	$2,344.23
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 $977.24 / $1,000.00 / $1,778.28	Professional		$977.24	$1,000.00	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,148.15 / $1,905.46	Professional		$831.76	$1,148.15	$1,905.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,819.70	Professional		$1,047.13	$1,412.54	$1,819.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,659.59	Professional		$812.83	$1,096.48	$1,659.59
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 $891.25 / $1,288.25 / $2,884.03	Professional		$891.25	$1,288.25	$2,884.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,949.84	Facility		$1,202.26	$1,202.26	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $1,995.26	Professional		$1,047.13	$1,318.26	$1,995.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $977.24	Facility		$407.38	$407.38	$977.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $954.99	Professional		$407.38	$575.44	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $26,915.35	Facility		$2,344.23	$4,466.84	$26,915.35
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,778.28	Professional		$794.33	$1,122.02	$1,778.28