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 $2,570.40 / $3,090.30 / $6,918.31	Professional		$2,570.40	$3,090.30	$6,918.31
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 $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,388.44 / $5,495.41	Professional		$2,238.72	$3,388.44	$5,495.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,715.35 / $4,168.69	Professional		$2,884.03	$3,715.35	$4,168.69
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,311.31 / $5,248.07	Professional		$2,344.23	$3,311.31	$5,248.07
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 $2,570.40 / $3,388.44 / $7,762.47	Professional		$2,570.40	$3,388.44	$7,762.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $5,754.40	Facility		$2,884.03	$2,884.03	$5,754.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $4,365.16 / $6,165.95	Professional		$2,570.40	$4,365.16	$6,165.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,754.23 / $2,884.03	Professional		$2,691.53	$2,754.23	$2,884.03
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 $2,238.72 / $3,019.95 / $5,623.41	Professional		$2,238.72	$3,019.95	$5,623.41