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 $1,096.48 / $1,318.26 / $3,311.31	Professional		$1,096.48	$1,318.26	$3,311.31
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 $1,071.52 / $1,584.89 / $2,290.87	Professional		$1,071.52	$1,584.89	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,454.71	Professional		$1,071.52	$1,548.82	$2,454.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,041.74	Professional		$1,412.54	$1,819.70	$2,041.74
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,344.23	Professional		$1,122.02	$1,548.82	$2,344.23
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 $1,096.48 / $1,548.82 / $3,801.89	Professional		$1,096.48	$1,548.82	$3,801.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,454.71	Facility		$1,548.82	$1,548.82	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $2,570.40	Professional		$1,348.96	$2,041.74	$2,570.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $1,348.96	Facility		$1,202.26	$1,348.96	$1,348.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,230.27 / $1,348.96	Professional		$1,148.15	$1,230.27	$1,348.96
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 $1,047.13 / $1,380.38 / $2,454.71	Professional		$1,047.13	$1,380.38	$2,454.71