Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,370.32 / $8,511.38	Facility		$1,412.54	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,630.27	Professional		$1,071.52	$1,412.54	$2,630.27
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 $1,230.27 / $1,258.93 / $2,089.30	Professional		$1,230.27	$1,258.93	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,238.72	Professional		$977.24	$1,318.26	$2,238.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,862.09	Professional		$1,348.96	$1,348.96	$1,862.09
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $2,041.74	Professional		$1,047.13	$1,202.26	$2,041.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $3,801.89	Professional		$1,071.52	$1,548.82	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,290.87	Professional		$1,230.27	$1,230.27	$2,290.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,230.27	Facility		$1,122.02	$1,122.02	$1,230.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,318.26	Professional		$1,122.02	$1,230.27	$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 $977.24 / $1,318.26 / $2,344.23	Professional		$977.24	$1,318.26	$2,344.23