Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,165.95 / $9,332.54	Facility		$1,288.25	$6,165.95	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $4,570.88	Professional		$1,513.56	$1,862.09	$4,570.88
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 $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,090.30	Professional		$1,513.56	$1,995.26	$3,090.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,630.27	Professional		$2,344.23	$2,344.23	$2,630.27
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $3,388.44	Professional		$1,584.89	$2,137.96	$3,388.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $9,332.54	Facility		$1,023.29	$4,786.30	$9,332.54
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 Professional Modifier Low / Median / High Price $2,187.76 / $2,344.23 / $3,548.13	Professional		$2,187.76	$2,344.23	$3,548.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,513.56 / $2,344.23	Facility		$549.54	$1,513.56	$2,344.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,513.56 / $2,344.23	Professional		$549.54	$1,513.56	$2,344.23
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 $1,445.44 / $1,949.84 / $3,162.28	Professional		$1,445.44	$1,949.84	$3,162.28