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 $758.58 / $1,000.00 / $1,778.28	Professional		$758.58	$1,000.00	$1,778.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $933.25 / $1,445.44	Professional		$891.25	$933.25	$1,445.44
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 $691.83 / $912.01 / $1,513.56	Professional		$691.83	$912.01	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,380.38	Professional		$1,000.00	$1,000.00	$1,380.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $870.96 / $1,380.38	Professional		$724.44	$870.96	$1,380.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $8,317.64	Facility		$1,023.29	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,630.27	Professional		$776.25	$1,122.02	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,584.89	Professional		$776.25	$776.25	$1,584.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $891.25	Facility		$478.63	$478.63	$891.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $954.99	Professional		$478.63	$478.63	$954.99
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 $676.08 / $891.25 / $1,513.56	Professional		$676.08	$891.25	$1,513.56