Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,754.40 / $8,511.38	Facility		$1,047.13	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,905.46 / $5,495.41	Professional		$1,698.24	$1,905.46	$5,495.41
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 $1,659.59 / $2,454.71 / $3,467.37	Professional		$1,659.59	$2,454.71	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $3,801.89	Professional		$1,621.81	$2,398.83	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $2,754.23	Professional		$1,949.84	$2,511.89	$2,754.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $3,548.13	Professional		$1,778.28	$2,290.87	$3,548.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $8,317.64	Facility		$1,023.29	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $6,025.60	Professional		$1,698.24	$2,238.72	$6,025.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,890.45	Facility		$2,398.83	$2,398.83	$3,890.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $4,168.69	Professional		$2,089.30	$2,951.21	$4,168.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,862.09	Facility		$1,698.24	$1,698.24	$1,862.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,862.09 / $1,949.84	Professional		$1,698.24	$1,862.09	$1,949.84
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 $1,621.81 / $2,137.96 / $3,715.35	Professional		$1,621.81	$2,137.96	$3,715.35