Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,317.64	Facility		$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,698.24	Professional		$676.08	$933.25	$1,698.24
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 $812.83 / $851.14 / $1,318.26	Professional		$812.83	$851.14	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,380.38	Professional		$630.96	$831.76	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,288.25	Professional		$933.25	$933.25	$1,288.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $794.33 / $1,258.93	Professional		$660.69	$794.33	$1,258.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $8,317.64	Facility		$954.99	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $2,344.23	Professional		$724.44	$1,047.13	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $1,445.44	Professional		$758.58	$758.58	$1,445.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $831.76	Facility		$478.63	$478.63	$831.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $478.63 / $831.76	Professional		$467.74	$478.63	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,168.69 / $12,022.64	Facility		$2,089.30	$4,168.69	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $812.83 / $1,380.38	Professional		$616.60	$812.83	$1,380.38