Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $5,754.40 / $8,511.38	Facility		$954.99	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,071.52 / $2,238.72	Professional		$912.01	$1,071.52	$2,238.72
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 $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,137.96	Professional		$933.25	$1,318.26	$2,137.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $1,698.24	Professional		$1,202.26	$1,548.82	$1,698.24
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $2,041.74	Professional		$954.99	$1,318.26	$2,041.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $4,265.80 / $8,317.64	Facility		$954.99	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,951.21	Professional		$912.01	$1,258.93	$2,951.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,187.76	Facility		$1,202.26	$1,202.26	$2,187.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,737.80 / $2,238.72	Professional		$1,096.48	$1,737.80	$2,238.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,071.52	Facility		$1,000.00	$1,000.00	$1,071.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $1,071.52 / $1,122.02	Professional		$93.33	$1,071.52	$1,122.02
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 $933.25 / $1,230.27 / $2,089.30	Professional		$933.25	$1,230.27	$2,089.30