Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $6,025.60 / $9,549.93	Facility		$1,348.96	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $3,090.30	Professional		$1,148.15	$1,380.38	$3,090.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,454.71	Professional		$1,071.52	$1,548.82	$2,454.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $1,905.46	Professional		$1,348.96	$1,737.80	$1,905.46
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,398.83	Professional		$1,148.15	$1,513.56	$2,398.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,248.07 / $9,549.93	Facility		$1,122.02	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $3,630.78	Professional		$1,202.26	$1,584.89	$3,630.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,570.40	Facility		$1,479.11	$1,479.11	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $2,691.53	Professional		$1,380.38	$1,995.26	$2,691.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,230.27	Facility		$691.83	$691.83	$1,230.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,202.26 / $1,258.93	Professional		$691.83	$1,202.26	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,232.93	Facility		$1,348.96	$3,548.13	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $2,511.89	Professional		$1,023.29	$1,380.38	$2,511.89