Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $2,691.53 / $8,317.64	Facility		$977.24	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,951.21	Professional		$1,122.02	$1,318.26	$2,951.21
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 $1,819.70 / $1,819.70 / $1,995.26	Professional		$1,819.70	$1,819.70	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,570.40	Professional		$1,174.90	$1,584.89	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,398.83	Professional		$1,380.38	$1,862.09	$2,398.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,412.54 / $2,454.71	Professional		$1,000.00	$1,412.54	$2,454.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,344.23 / $8,317.64	Facility		$724.44	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $3,801.89	Professional		$1,174.90	$1,698.24	$3,801.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,630.27	Facility		$1,659.59	$1,659.59	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,737.80 / $2,570.40	Professional		$1,445.44	$1,737.80	$2,570.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $1,380.38	Facility		$309.03	$309.03	$1,380.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,230.27 / $1,380.38	Professional		$309.03	$1,230.27	$1,380.38
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 $1,096.48 / $1,513.56 / $2,454.71	Professional		$1,096.48	$1,513.56	$2,454.71