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 $1,000.00 / $1,174.90 / $3,090.30	Professional		$1,000.00	$1,174.90	$3,090.30
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 $1,047.13 / $1,479.11 / $2,344.23	Professional		$1,047.13	$1,479.11	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $1,949.84	Professional		$1,380.38	$1,778.28	$1,949.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,344.23	Professional		$1,096.48	$1,513.56	$2,344.23
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 $1,023.29 / $1,412.54 / $3,311.31	Professional		$1,023.29	$1,412.54	$3,311.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,344.23	Facility		$1,548.82	$1,548.82	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,995.26 / $2,454.71	Professional		$1,348.96	$1,995.26	$2,454.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,288.25 / $1,288.25	Facility		$1,148.15	$1,288.25	$1,288.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $1,288.25	Professional		$1,122.02	$1,148.15	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $6,025.60	Facility		$2,137.96	$3,090.30	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,290.87	Professional		$1,047.13	$1,348.96	$2,290.87