Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,786.30 / $8,317.64	Facility		$1,202.26	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $2,344.23	Professional		$1,023.29	$1,318.26	$2,344.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $2,041.74	Professional		$1,174.90	$1,230.27	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $2,041.74	Professional		$933.25	$1,202.26	$2,041.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,778.28	Professional		$1,288.25	$1,288.25	$1,778.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,862.09	Professional		$977.24	$1,122.02	$1,862.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $8,317.64	Facility		$1,023.29	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $3,630.78	Professional		$1,047.13	$1,445.44	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $2,089.30	Professional		$1,096.48	$1,096.48	$2,089.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,174.90	Facility		$478.63	$478.63	$1,174.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,047.13 / $1,258.93	Professional		$478.63	$1,047.13	$1,258.93
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 $891.25 / $1,230.27 / $2,089.30	Professional		$891.25	$1,230.27	$2,089.30