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 $1,318.26 / $1,584.89 / $3,890.45	Professional		$1,318.26	$1,584.89	$3,890.45
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 $1,148.15 / $1,995.26 / $2,511.89	Professional		$1,148.15	$1,995.26	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,630.27	Professional		$1,288.25	$1,698.24	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,137.96	Professional		$1,905.46	$1,905.46	$2,137.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $4,466.84	Professional		$1,513.56	$1,778.28	$4,466.84
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 $1,318.26 / $1,659.59 / $4,073.80	Professional		$1,318.26	$1,659.59	$4,073.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,412.54 / $3,019.95	Professional		$1,348.96	$1,412.54	$3,019.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $1,318.26	Professional		$1,000.00	$1,288.25	$1,318.26
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 $1,230.27 / $1,698.24 / $2,691.53	Professional		$1,230.27	$1,698.24	$2,691.53