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 $2,290.87 / $2,818.38 / $6,760.83	Professional		$2,290.87	$2,818.38	$6,760.83
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 $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $4,786.30	Professional		$2,089.30	$3,090.30	$4,786.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,981.07	Professional		$3,548.13	$3,548.13	$3,981.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $3,162.28 / $5,128.61	Professional		$1,513.56	$3,162.28	$5,128.61
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 $2,344.23 / $3,090.30 / $6,760.83	Professional		$2,344.23	$3,090.30	$6,760.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,238.72 / $5,370.32	Professional		$2,089.30	$2,238.72	$5,370.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,290.87	Facility		$2,089.30	$2,089.30	$2,290.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $2,398.83	Professional		$2,089.30	$2,290.87	$2,398.83
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 / $2,818.38 / $4,897.79	Professional		$1,995.26	$2,818.38	$4,897.79