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 $1,096.48 / $2,041.74 / $2,691.53	Professional		$1,096.48	$2,041.74	$2,691.53
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 $2,290.87 / $2,691.53 / $4,365.16	Professional		$2,290.87	$2,691.53	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $3,715.35	Professional		$1,737.80	$2,398.83	$3,715.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,466.84	Professional		$3,235.94	$3,235.94	$4,466.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
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 $1,096.48 / $2,089.30 / $3,890.45	Professional		$1,096.48	$2,089.30	$3,890.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $2,630.27	Facility		$2,511.89	$2,630.27	$2,630.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,570.40 / $2,630.27	Professional		$1,479.11	$2,570.40	$2,630.27
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 $1,737.80 / $2,398.83 / $4,786.30	Professional		$1,737.80	$2,398.83	$4,786.30