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 $1,174.90 / $1,412.54 / $3,981.07	Professional		$1,174.90	$1,412.54	$3,981.07
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 $1,819.70 / $1,819.70 / $1,995.26	Professional		$1,819.70	$1,819.70	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,344.23	Professional		$1,148.15	$1,548.82	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,041.74	Professional		$1,819.70	$1,819.70	$2,041.74
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,511.89	Professional		$1,202.26	$1,659.59	$2,511.89
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 $1,230.27 / $1,513.56 / $3,981.07	Professional		$1,230.27	$1,513.56	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $2,691.53	Professional		$1,862.09	$1,995.26	$2,691.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,548.82 / $1,548.82	Facility		$1,174.90	$1,548.82	$1,548.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $1,548.82	Professional		$1,122.02	$1,174.90	$1,548.82
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 $1,122.02 / $1,445.44 / $2,398.83	Professional		$1,122.02	$1,445.44	$2,398.83