Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,025.60 / $9,549.93	Facility		$1,380.38	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $3,388.44	Professional		$933.25	$1,148.15	$3,388.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,995.26	Professional		$954.99	$1,258.93	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $1,513.56	Professional		$1,071.52	$1,380.38	$1,513.56
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $1,949.84	Professional		$1,000.00	$1,258.93	$1,949.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,128.61 / $9,549.93	Facility		$1,122.02	$5,128.61	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $3,388.44	Professional		$933.25	$1,318.26	$3,388.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,995.26	Facility		$1,513.56	$1,513.56	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,137.96	Professional		$1,348.96	$1,584.89	$2,137.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,202.26	Facility		$891.25	$891.25	$1,202.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $1,023.29	Professional		$891.25	$954.99	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $10,964.78	Facility		$2,137.96	$3,981.07	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $2,041.74	Professional		$870.96	$1,174.90	$2,041.74