Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $8,511.38	Facility		$1,288.25	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,951.21	Professional		$1,000.00	$1,288.25	$2,951.21
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 $1,023.29 / $1,513.56 / $2,041.74	Professional		$1,023.29	$1,513.56	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,380.38 / $2,290.87	Professional		$954.99	$1,380.38	$2,290.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $1,819.70	Professional		$1,258.93	$1,621.81	$1,819.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,238.72	Professional		$1,023.29	$1,412.54	$2,238.72
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 $1,096.48 / $1,445.44 / $3,311.31	Professional		$1,096.48	$1,445.44	$3,311.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,454.71	Facility		$1,230.27	$1,230.27	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,862.09 / $2,398.83	Professional		$1,071.52	$1,862.09	$2,398.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,148.15	Facility		$588.84	$588.84	$1,148.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,023.29 / $1,174.90	Professional		$588.84	$1,023.29	$1,174.90
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 $912.01 / $1,258.93 / $2,238.72	Professional		$912.01	$1,258.93	$2,238.72