Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,025.60 / $9,549.93	Facility		$1,288.25	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,174.90 / $2,398.83	Professional		$1,047.13	$1,174.90	$2,398.83
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 $1,000.00 / $1,513.56 / $2,089.30	Professional		$1,000.00	$1,513.56	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,290.87	Professional		$1,000.00	$1,479.11	$2,290.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $1,737.80	Professional		$1,230.27	$1,584.89	$1,737.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,187.76	Professional		$1,071.52	$1,445.44	$2,187.76
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 $1,047.13 / $1,412.54 / $3,388.44	Professional		$1,047.13	$1,412.54	$3,388.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,398.83	Facility		$1,445.44	$1,445.44	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $2,511.89	Professional		$1,288.25	$1,819.70	$2,511.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,230.27	Facility		$691.83	$691.83	$1,230.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $1,202.26	Professional		$691.83	$1,122.02	$1,202.26
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 $977.24 / $1,288.25 / $2,290.87	Professional		$977.24	$1,288.25	$2,290.87