Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $7,244.36 / $11,220.18	Facility		$1,584.89	$7,244.36	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,737.80 / $3,090.30	Professional		$1,380.38	$1,737.80	$3,090.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,584.89 / $2,691.53	Professional		$1,548.82	$1,584.89	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,691.53	Professional		$1,230.27	$1,584.89	$2,691.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,290.87	Professional		$1,659.59	$1,659.59	$2,290.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $2,570.40	Professional		$1,318.26	$1,513.56	$2,570.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,495.41 / $10,964.78	Facility		$1,288.25	$5,495.41	$10,964.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $4,786.30	Professional		$1,412.54	$1,905.46	$4,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,754.23	Professional		$1,513.56	$1,513.56	$2,754.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,318.26	Facility		$933.25	$933.25	$1,318.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,318.26	Professional		$933.25	$933.25	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,168.69 / $12,022.64	Facility		$2,089.30	$4,168.69	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,754.23	Professional		$1,202.26	$1,621.81	$2,754.23