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 $1,479.11 / $1,819.70 / $4,466.84	Professional		$1,479.11	$1,819.70	$4,466.84
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 $1,348.96 / $2,290.87 / $2,951.21	Professional		$1,348.96	$2,290.87	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,090.30	Professional		$1,513.56	$1,995.26	$3,090.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,570.40	Professional		$2,290.87	$2,290.87	$2,570.40
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $3,388.44	Professional		$1,548.82	$2,089.30	$3,388.44
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 $1,548.82 / $1,995.26 / $4,897.79	Professional		$1,548.82	$1,995.26	$4,897.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,905.46 / $3,467.37	Professional		$1,819.70	$1,905.46	$3,467.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,089.30	Facility		$1,513.56	$1,513.56	$2,089.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,513.56 / $2,089.30	Professional		$1,445.44	$1,513.56	$2,089.30
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 $1,445.44 / $1,905.46 / $3,162.28	Professional		$1,445.44	$1,905.46	$3,162.28