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 $1,548.82 / $1,862.09 / $4,073.80	Professional		$1,548.82	$1,862.09	$4,073.80
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 $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,089.30 / $3,467.37	Professional		$1,288.25	$2,089.30	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $2,884.03	Professional		$1,995.26	$2,570.40	$2,884.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,089.30 / $3,311.31	Professional		$1,148.15	$2,089.30	$3,311.31
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 $1,584.89 / $2,041.74 / $4,897.79	Professional		$1,584.89	$2,041.74	$4,897.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $3,388.44	Facility		$1,479.11	$1,479.11	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $3,715.35	Professional		$1,318.26	$2,884.03	$3,715.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,659.59	Facility		$1,148.15	$1,148.15	$1,659.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $1,737.80	Professional		$1,148.15	$1,659.59	$1,737.80
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 $1,318.26 / $1,905.46 / $3,467.37	Professional		$1,318.26	$1,905.46	$3,467.37