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 $2,187.76 / $2,630.27 / $5,754.40	Professional		$2,187.76	$2,630.27	$5,754.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Professional		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $4,677.35	Professional		$2,089.30	$3,019.95	$4,677.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $3,630.78	Professional		$2,570.40	$3,235.94	$3,630.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $4,466.84	Professional		$2,137.96	$2,884.03	$4,466.84
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 $2,238.72 / $2,884.03 / $6,760.83	Professional		$2,238.72	$2,884.03	$6,760.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $4,897.79	Facility		$2,818.38	$2,818.38	$4,897.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $5,248.07	Professional		$2,511.89	$3,715.35	$5,248.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,344.23 / $2,511.89	Professional		$2,290.87	$2,344.23	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $6,760.83	Facility		$660.69	$2,570.40	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $4,786.30	Professional		$1,995.26	$2,630.27	$4,786.30