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 $1,202.26 / $1,479.11 / $3,548.13	Professional		$1,202.26	$1,479.11	$3,548.13
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 $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,454.71	Professional		$1,174.90	$1,621.81	$2,454.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,089.30	Professional		$1,862.09	$1,862.09	$2,089.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,630.27	Professional		$1,258.93	$1,698.24	$2,630.27
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 / $1,548.82 / $3,548.13	Professional		$1,230.27	$1,548.82	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,949.84 / $2,884.03	Professional		$1,862.09	$1,949.84	$2,884.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
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 $1,174.90 / $1,513.56 / $2,511.89	Professional		$1,174.90	$1,513.56	$2,511.89