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 $1,122.02 / $2,238.72 / $3,019.95	Professional		$1,122.02	$2,238.72	$3,019.95
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 $2,511.89 / $2,951.21 / $4,786.30	Professional		$2,511.89	$2,951.21	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $4,073.80	Professional		$1,949.84	$2,691.53	$4,073.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $4,786.30	Professional		$3,801.89	$3,801.89	$4,786.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
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 $1,122.02 / $2,398.83 / $4,897.79	Professional		$1,122.02	$2,398.83	$4,897.79
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 $2,754.23 / $2,884.03 / $2,884.03	Facility		$2,754.23	$2,884.03	$2,884.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,818.38 / $2,884.03	Professional		$1,548.82	$2,818.38	$2,884.03
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 $1,862.09 / $2,630.27 / $5,248.07	Professional		$1,862.09	$2,630.27	$5,248.07