Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,918.31 / $11,220.18	Facility		$1,584.89	$6,918.31	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $3,715.35	Professional		$1,380.38	$1,621.81	$3,715.35
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 / $1,995.26 / $2,691.53	Professional		$1,348.96	$1,995.26	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $3,019.95	Professional		$1,348.96	$1,905.46	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,454.71	Professional		$1,737.80	$2,187.76	$2,454.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $3,019.95	Professional		$1,412.54	$1,949.84	$3,019.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,495.41 / $11,220.18	Facility		$1,288.25	$5,495.41	$11,220.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $4,897.79	Professional		$1,412.54	$1,819.70	$4,897.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $3,311.31	Facility		$1,621.81	$1,621.81	$3,311.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,511.89 / $3,311.31	Professional		$1,445.44	$2,511.89	$3,311.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,513.56	Facility		$912.01	$912.01	$1,513.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $1,548.82	Professional		$912.01	$1,318.26	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $18,197.01	Facility		$2,344.23	$4,466.84	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $2,951.21	Professional		$1,174.90	$1,698.24	$2,951.21