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 $1,659.59 / $2,041.74 / $6,309.57	Professional		$1,659.59	$2,041.74	$6,309.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$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 $1,479.11 / $2,511.89 / $3,235.94	Professional		$1,479.11	$2,511.89	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $3,388.44	Professional		$1,659.59	$2,238.72	$3,388.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,818.38	Professional		$2,511.89	$2,511.89	$2,818.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,801.89	Professional		$1,778.28	$2,398.83	$3,801.89
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 $1,659.59 / $2,187.76 / $5,888.44	Professional		$1,659.59	$2,187.76	$5,888.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $3,311.31 / $4,168.69	Professional		$19.95	$3,311.31	$4,168.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,659.59 / $1,778.28	Facility		$1,513.56	$1,659.59	$1,778.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $1,737.80	Professional		$1,584.89	$1,698.24	$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 $1,621.81 / $2,187.76 / $3,467.37	Professional		$1,621.81	$2,187.76	$3,467.37