Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $4,786.30 / $8,317.64	Facility		$1,148.15	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $3,019.95	Professional		$1,000.00	$1,174.90	$3,019.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,819.70	Professional		$1,071.52	$1,071.52	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $1,949.84	Professional		$933.25	$1,230.27	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $1,659.59	Professional		$1,174.90	$1,513.56	$1,659.59
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,041.74	Professional		$933.25	$1,318.26	$2,041.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $8,317.64	Facility		$1,023.29	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,288.25 / $3,548.13	Professional		$1,023.29	$1,288.25	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,122.02	Facility		$912.01	$912.01	$1,122.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,047.13 / $1,122.02	Professional		$912.01	$1,047.13	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $18,197.01	Facility		$2,344.23	$4,466.84	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,089.30	Professional		$933.25	$1,230.27	$2,089.30