Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,786.30 / $8,317.64	Facility		$1,148.15	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,041.74	Professional		$891.25	$1,148.15	$2,041.74
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 $1,023.29 / $1,071.52 / $1,737.80	Professional		$1,023.29	$1,071.52	$1,737.80
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 $812.83 / $1,071.52 / $1,778.28	Professional		$812.83	$1,071.52	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,548.82	Professional		$1,122.02	$1,122.02	$1,548.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $977.24 / $1,584.89	Professional		$831.76	$977.24	$1,584.89
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 $977.24 / $1,288.25 / $3,162.28	Professional		$977.24	$1,288.25	$3,162.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,862.09	Professional		$954.99	$954.99	$1,862.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,023.29	Facility		$467.74	$467.74	$1,023.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $1,096.48	Professional		$467.74	$794.33	$1,096.48
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 $776.25 / $1,047.13 / $1,862.09	Professional		$776.25	$1,047.13	$1,862.09