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 $2,630.27 / $3,715.35 / $8,709.64	Professional		$2,630.27	$3,715.35	$8,709.64
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 $4,786.30 / $4,786.30 / $4,786.30	Professional		$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $6,165.95	Professional		$2,511.89	$3,715.35	$6,165.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $5,128.61	Professional		$4,570.88	$4,570.88	$5,128.61
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,265.80 / $6,456.54	Professional		$2,630.27	$4,265.80	$6,456.54
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 $2,754.23 / $3,890.45 / $8,128.31	Professional		$2,754.23	$3,890.45	$8,128.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,311.31 / $7,079.46	Professional		$3,162.28	$3,311.31	$7,079.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,162.28 / $3,162.28	Facility		$3,019.95	$3,162.28	$3,162.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,090.30 / $3,162.28	Professional		$2,884.03	$3,090.30	$3,162.28
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 $2,630.27 / $3,630.78 / $6,456.54	Professional		$2,630.27	$3,630.78	$6,456.54