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 $1,412.54 / $1,737.80 / $4,677.35	Professional		$1,412.54	$1,737.80	$4,677.35
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 / $2,187.76 / $2,754.23	Professional		$1,258.93	$2,187.76	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,884.03	Professional		$1,412.54	$1,862.09	$2,884.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,344.23	Professional		$2,089.30	$2,089.30	$2,344.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,995.26 / $3,311.31	Professional		$1,202.26	$1,995.26	$3,311.31
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 / $1,905.46 / $4,466.84	Professional		$1,548.82	$1,905.46	$4,466.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,548.82 / $3,388.44	Professional		$1,479.11	$1,548.82	$3,388.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $1,479.11	Facility		$1,412.54	$1,479.11	$1,479.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $1,479.11	Professional		$1,348.96	$1,445.44	$1,479.11
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 $1,288.25 / $1,862.09 / $3,019.95	Professional		$1,288.25	$1,862.09	$3,019.95