Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,165.95 / $9,549.93	Facility		$1,412.54	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,801.89 / $10,964.78	Professional		$3,090.30	$3,801.89	$10,964.78
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 $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $6,309.57	Professional		$3,162.28	$4,073.80	$6,309.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,248.07	Professional		$4,786.30	$4,786.30	$5,248.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,365.16 / $6,918.31	Professional		$2,818.38	$4,365.16	$6,918.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,709.64	Facility		$1,023.29	$4,786.30	$8,709.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $8,912.51	Professional		$3,162.28	$4,073.80	$8,912.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,235.94 / $7,079.46	Professional		$3,090.30	$3,235.94	$7,079.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,311.31	Facility		$3,090.30	$3,090.30	$3,311.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,162.28 / $3,235.94	Professional		$2,951.21	$3,162.28	$3,235.94
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 $2,884.03 / $3,981.07 / $6,606.93	Professional		$2,884.03	$3,981.07	$6,606.93