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 $1,348.96 / $1,621.81 / $3,981.07	Professional		$1,348.96	$1,621.81	$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 $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
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 $2,089.30 / $2,089.30 / $2,344.23	Professional		$2,089.30	$2,089.30	$2,344.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,951.21	Professional		$1,412.54	$1,905.46	$2,951.21
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 $1,412.54 / $1,737.80 / $3,981.07	Professional		$1,412.54	$1,737.80	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $3,311.31	Professional		$2,137.96	$2,290.87	$3,311.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,187.76	Facility		$1,348.96	$1,348.96	$2,187.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $2,187.76	Professional		$1,288.25	$1,380.38	$2,187.76
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