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 $1,380.38 / $1,621.81 / $2,884.03	Professional		$1,380.38	$1,621.81	$2,884.03
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 $1,348.96 / $2,290.87 / $3,235.94	Professional		$1,348.96	$2,290.87	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,818.38	Professional		$1,348.96	$2,137.96	$2,818.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,238.72	Professional		$1,995.26	$1,995.26	$2,238.72
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,905.46 / $3,090.30	Professional		$1,584.89	$1,905.46	$3,090.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,511.38	Facility		$1,023.29	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $3,630.78	Professional		$1,445.44	$1,819.70	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $3,090.30 / $3,548.13	Professional		$15.14	$3,090.30	$3,548.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
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 $1,288.25 / $1,862.09 / $2,884.03	Professional		$1,288.25	$1,862.09	$2,884.03