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 $1,071.52 / $1,288.25 / $2,691.53	Professional		$1,071.52	$1,288.25	$2,691.53
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 $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,344.23	Professional		$1,122.02	$1,479.11	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $1,819.70	Professional		$1,258.93	$1,621.81	$1,819.70
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 $1,096.48 / $1,548.82 / $3,311.31	Professional		$1,096.48	$1,548.82	$3,311.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,344.23	Facility		$1,737.80	$1,737.80	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $2,511.89	Professional		$1,479.11	$1,862.09	$2,511.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,479.11	Facility		$1,148.15	$1,148.15	$1,479.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,174.90 / $1,202.26	Professional		$1,122.02	$1,174.90	$1,202.26
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 $1,023.29 / $1,412.54 / $2,398.83	Professional		$1,023.29	$1,412.54	$2,398.83