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 / $8,709.64	Facility		$1,047.13	$5,754.40	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $4,073.80	Professional		$1,348.96	$1,659.59	$4,073.80
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 $2,137.96 / $2,137.96 / $2,238.72	Professional		$2,137.96	$2,137.96	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,754.23	Professional		$1,380.38	$1,819.70	$2,754.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,344.23	Professional		$2,137.96	$2,137.96	$2,344.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,019.95	Professional		$1,445.44	$1,949.84	$3,019.95
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 $1,380.38 / $1,737.80 / $3,801.89	Professional		$1,380.38	$1,737.80	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,344.23 / $3,311.31	Professional		$2,187.76	$2,344.23	$3,311.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $2,137.96	Facility		$1,348.96	$2,137.96	$2,137.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $2,137.96	Professional		$1,288.25	$1,380.38	$2,137.96
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 $1,318.26 / $1,778.28 / $2,818.38	Professional		$1,318.26	$1,778.28	$2,818.38