Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $6,606.93 / $10,964.78	Facility		$1,258.93	$6,606.93	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,819.70	Professional		$1,071.52	$1,202.26	$1,819.70
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 $954.99 / $1,122.02 / $1,862.09	Professional		$954.99	$1,122.02	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,454.71	Professional		$933.25	$1,380.38	$2,454.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,318.26 / $1,698.24	Professional		$891.25	$1,318.26	$1,698.24
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,344.23	Professional		$1,148.15	$1,584.89	$2,344.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,370.32 / $10,964.78	Facility		$1,258.93	$5,370.32	$10,964.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $3,019.95	Professional		$1,096.48	$1,258.93	$3,019.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $1,445.44	Facility		$1,071.52	$1,445.44	$1,445.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,071.52 / $1,445.44	Professional		$741.31	$1,071.52	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $10,471.29	Facility		$2,344.23	$4,365.16	$10,471.29
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,041.74	Professional		$912.01	$1,230.27	$2,041.74