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 $1,202.26 / $1,479.11 / $2,630.27	Professional		$1,202.26	$1,479.11	$2,630.27
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 $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,630.27	Professional		$1,258.93	$1,659.59	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $1,995.26	Professional		$1,412.54	$1,819.70	$1,995.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,570.40	Professional		$1,288.25	$1,659.59	$2,570.40
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 $1,230.27 / $1,698.24 / $3,630.78	Professional		$1,230.27	$1,698.24	$3,630.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,630.27	Facility		$2,137.96	$2,137.96	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,818.38	Professional		$1,737.80	$2,089.30	$2,818.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $2,041.74	Facility		$1,288.25	$2,041.74	$2,041.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,288.25 / $2,041.74	Professional		$1,258.93	$1,288.25	$2,041.74
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 $1,148.15 / $1,548.82 / $2,691.53	Professional		$1,148.15	$1,548.82	$2,691.53