Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $7,244.36 / $14,454.40	Facility		$1,412.54	$7,244.36	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $3,890.45	Professional		$1,288.25	$1,584.89	$3,890.45
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 $1,479.11 / $1,737.80 / $2,187.76	Professional		$1,479.11	$1,737.80	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,630.27	Professional		$1,288.25	$1,698.24	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,187.76	Professional		$1,949.84	$1,949.84	$2,187.76
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,884.03	Professional		$1,348.96	$1,819.70	$2,884.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,370.32 / $13,803.84	Facility		$1,023.29	$5,370.32	$13,803.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,698.24 / $4,168.69	Professional		$1,348.96	$1,698.24	$4,168.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $2,951.21	Professional		$1,737.80	$1,819.70	$2,951.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,445.44	Facility		$1,288.25	$1,288.25	$1,445.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,445.44	Professional		$1,230.27	$1,288.25	$1,445.44
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 $1,230.27 / $1,659.59 / $2,691.53	Professional		$1,230.27	$1,659.59	$2,691.53