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 $1,047.13 / $1,258.93 / $2,630.27	Professional		$1,047.13	$1,258.93	$2,630.27
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 $1,047.13 / $1,513.56 / $2,187.76	Professional		$1,047.13	$1,513.56	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,479.11 / $2,344.23	Professional		$1,096.48	$1,479.11	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $1,778.28	Professional		$1,258.93	$1,621.81	$1,778.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,479.11 / $2,290.87	Professional		$1,148.15	$1,479.11	$2,290.87
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 $1,071.52 / $1,513.56 / $3,548.13	Professional		$1,071.52	$1,513.56	$3,548.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,344.23	Facility		$1,659.59	$1,659.59	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,862.09 / $2,454.71	Professional		$1,445.44	$1,862.09	$2,454.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,412.54	Facility		$1,148.15	$1,148.15	$1,412.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $1,412.54	Professional		$1,122.02	$1,148.15	$1,412.54
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 $1,023.29 / $1,380.38 / $2,398.83	Professional		$1,023.29	$1,380.38	$2,398.83