Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,862.09	Facility		$1,000.00	$1,000.00	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $933.25 / $1,513.56	Professional		$812.83	$933.25	$1,513.56
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $851.14 / $1,513.56	Professional		$812.83	$851.14	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,862.09 / $2,238.72	Facility		$1,000.00	$1,862.09	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,174.90 / $2,089.30	Professional		$851.14	$1,174.90	$2,089.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $1,995.26	Professional		$1,174.90	$1,348.96	$1,995.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,995.26	Professional		$812.83	$1,096.48	$1,995.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,862.09	Facility		$1,000.00	$1,000.00	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,000.00 / $2,238.72	Professional		$831.76	$1,000.00	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $1,949.84	Professional		$1,513.56	$1,778.28	$1,949.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $977.24 / $977.24	Facility		$870.96	$977.24	$977.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $870.96 / $977.24	Professional		$338.84	$870.96	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $3,311.31	Facility		$1,412.54	$2,511.89	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,862.09	Professional		$851.14	$1,047.13	$1,862.09