Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $6,606.93 / $9,772.37	Facility		$1,479.11	$6,606.93	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $3,467.37	Professional		$1,148.15	$1,479.11	$3,467.37
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $2,290.87	Professional		$1,096.48	$1,862.09	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,584.89 / $2,454.71	Professional		$1,202.26	$1,584.89	$2,454.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,862.09	Professional		$1,698.24	$1,698.24	$1,862.09
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,570.40	Professional		$1,174.90	$1,621.81	$2,570.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $9,772.37	Facility		$1,122.02	$5,370.32	$9,772.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $4,073.80	Professional		$1,258.93	$1,659.59	$4,073.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,000.00 / $2,691.53	Professional		$954.99	$1,000.00	$2,691.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,202.26	Facility		$1,148.15	$1,148.15	$1,202.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $1,288.25	Professional		$1,148.15	$1,202.26	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $9,772.37	Facility		$2,089.30	$3,981.07	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,511.89	Professional		$1,148.15	$1,479.11	$2,511.89