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 $1,479.11 / $1,819.70 / $4,570.88	Professional		$1,479.11	$1,819.70	$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 $1,288.25 / $1,513.56 / $1,584.89	Professional		$1,288.25	$1,513.56	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,019.95	Professional		$1,513.56	$1,995.26	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,570.40	Professional		$2,290.87	$2,290.87	$2,570.40
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,089.30 / $3,388.44	Professional		$1,584.89	$2,089.30	$3,388.44
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 / $1,905.46 / $4,570.88	Professional		$1,584.89	$1,905.46	$4,570.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $3,630.78	Professional		$2,344.23	$2,454.71	$3,630.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $2,344.23	Facility		$1,479.11	$2,344.23	$2,344.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,513.56 / $2,344.23	Professional		$1,445.44	$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 / $3,090.30	Professional		$1,445.44	$1,949.84	$3,090.30