Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,691.53 / $8,317.64	Facility		$1,000.00	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,570.40	Professional		$1,047.13	$1,258.93	$2,570.40
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 $1,023.29 / $1,174.90 / $1,202.26	Professional		$1,023.29	$1,174.90	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,412.54 / $2,290.87	Professional		$1,023.29	$1,412.54	$2,290.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $1,949.84	Professional		$1,348.96	$1,737.80	$1,949.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $1,995.26	Professional		$1,047.13	$1,479.11	$1,995.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,344.23 / $8,317.64	Facility		$724.44	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $3,311.31	Professional		$1,047.13	$1,412.54	$3,311.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,344.23	Facility		$1,445.44	$1,445.44	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $2,290.87	Professional		$1,288.25	$1,905.46	$2,290.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $1,174.90	Facility		$309.03	$309.03	$1,174.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,096.48 / $1,174.90	Professional		$309.03	$1,096.48	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,000.00 / $3,890.45	Facility		$323.59	$1,000.00	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,290.87	Professional		$1,000.00	$1,288.25	$2,290.87