Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,025.60 / $9,549.93	Facility		$1,445.44	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $2,691.53	Professional		$1,174.90	$1,513.56	$2,691.53
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 $1,348.96 / $1,380.38 / $2,238.72	Professional		$1,348.96	$1,380.38	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,290.87	Professional		$1,071.52	$1,380.38	$2,290.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,041.74	Professional		$1,479.11	$1,479.11	$2,041.74
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $2,137.96	Professional		$1,122.02	$1,288.25	$2,137.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,248.07 / $9,549.93	Facility		$1,122.02	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $3,890.45	Professional		$1,174.90	$1,621.81	$3,890.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,290.87	Professional		$1,380.38	$1,380.38	$2,290.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,348.96	Facility		$691.83	$691.83	$1,348.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,148.15 / $1,348.96	Professional		$691.83	$1,148.15	$1,348.96
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 $1,023.29 / $1,348.96 / $2,344.23	Professional		$1,023.29	$1,348.96	$2,344.23