Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $7,244.36 / $11,220.18	Facility		$1,445.44	$7,244.36	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $3,019.95	Professional		$1,071.52	$1,288.25	$3,019.95
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 $1,819.70 / $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 / $1,513.56 / $2,344.23	Professional		$1,122.02	$1,513.56	$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 $1,174.90 / $1,548.82 / $2,344.23	Professional		$1,174.90	$1,548.82	$2,344.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,754.40 / $11,220.18	Facility		$1,122.02	$5,754.40	$11,220.18
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 $1,905.46 / $1,905.46 / $2,344.23	Facility		$1,905.46	$1,905.46	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,862.09 / $2,511.89	Professional		$1,584.89	$1,862.09	$2,511.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,659.59	Facility		$1,148.15	$1,148.15	$1,659.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $1,659.59	Professional		$1,122.02	$1,148.15	$1,659.59
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 $1,023.29 / $1,412.54 / $2,398.83	Professional		$1,023.29	$1,412.54	$2,398.83