Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $6,165.95 / $8,511.38	Facility		$1,047.13	$6,165.95	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,288.25 / $3,090.30	Professional		$1,174.90	$1,288.25	$3,090.30
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 / $1,698.24 / $2,398.83	Professional		$1,148.15	$1,698.24	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $2,630.27	Professional		$1,122.02	$1,621.81	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,137.96	Professional		$1,479.11	$1,905.46	$2,137.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,570.40	Professional		$1,202.26	$1,621.81	$2,570.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,317.64	Facility		$1,023.29	$4,786.30	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $3,715.35	Professional		$1,174.90	$1,513.56	$3,715.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,630.27	Facility		$1,445.44	$1,445.44	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,137.96 / $2,691.53	Professional		$1,258.93	$2,137.96	$2,691.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,288.25	Facility		$630.96	$630.96	$1,288.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,202.26 / $1,318.26	Professional		$630.96	$1,202.26	$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 $1,122.02 / $1,479.11 / $2,570.40	Professional		$1,122.02	$1,479.11	$2,570.40