Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,754.40 / $8,511.38	Facility		$1,047.13	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,454.71	Professional		$1,023.29	$1,230.27	$2,454.71
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,290.87	Professional		$1,047.13	$1,412.54	$2,290.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $1,949.84	Professional		$1,348.96	$1,737.80	$1,949.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,479.11 / $2,290.87	Professional		$1,071.52	$1,479.11	$2,290.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $8,317.64	Facility		$1,023.29	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $3,162.28	Professional		$1,023.29	$1,348.96	$3,162.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,290.87	Facility		$1,288.25	$1,288.25	$2,290.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,949.84 / $2,398.83	Professional		$1,230.27	$1,949.84	$2,398.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,096.48	Facility		$954.99	$954.99	$1,096.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,148.15	Professional		$954.99	$1,096.48	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $6,760.83	Facility		$660.69	$2,570.40	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,290.87	Professional		$954.99	$1,258.93	$2,290.87