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 $1,380.38 / $1,698.24 / $4,073.80	Professional		$1,380.38	$1,698.24	$4,073.80
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 $1,258.93 / $2,089.30 / $2,691.53	Professional		$1,258.93	$2,089.30	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,818.38	Professional		$1,380.38	$1,819.70	$2,818.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,398.83	Professional		$2,187.76	$2,187.76	$2,398.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $3,019.95	Professional		$1,380.38	$1,995.26	$3,019.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,511.38	Facility		$1,023.29	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $4,570.88	Professional		$1,412.54	$1,819.70	$4,570.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,659.59 / $3,235.94	Professional		$1,584.89	$1,659.59	$3,235.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,621.81	Facility		$1,380.38	$1,380.38	$1,621.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,412.54 / $1,621.81	Professional		$691.83	$1,412.54	$1,621.81
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 $1,348.96 / $1,778.28 / $2,884.03	Professional		$1,348.96	$1,778.28	$2,884.03