Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,370.32 / $8,511.38	Facility		$1,318.26	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $3,019.95	Professional		$1,047.13	$1,318.26	$3,019.95
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 $1,047.13 / $1,548.82 / $2,089.30	Professional		$1,047.13	$1,548.82	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,344.23	Professional		$977.24	$1,445.44	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,659.59 / $1,862.09	Professional		$1,318.26	$1,659.59	$1,862.09
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,290.87	Professional		$1,071.52	$1,445.44	$2,290.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $3,715.35	Professional		$1,122.02	$1,479.11	$3,715.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,511.89	Facility		$1,380.38	$1,380.38	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,905.46 / $2,454.71	Professional		$1,174.90	$1,905.46	$2,454.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,230.27	Facility		$575.44	$575.44	$1,230.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,148.15 / $1,230.27	Professional		$575.44	$1,148.15	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $18,197.01	Facility		$2,344.23	$4,466.84	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,290.87	Professional		$954.99	$1,288.25	$2,290.87