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 $537.03 / $758.58 / $1,380.38	Professional		$537.03	$758.58	$1,380.38
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 $676.08 / $691.83 / $1,071.52	Professional		$676.08	$691.83	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,122.02	Professional		$512.86	$676.08	$1,122.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $1,071.52	Professional		$776.25	$776.25	$1,071.52
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $1,071.52	Professional		$549.54	$660.69	$1,071.52
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 $549.54 / $851.14 / $1,949.84	Professional		$549.54	$851.14	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $1,122.02	Professional		$676.08	$676.08	$1,122.02
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 / $478.63 / $724.44	Professional		$416.87	$478.63	$724.44
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 $501.19 / $660.69 / $1,122.02	Professional		$501.19	$660.69	$1,122.02