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 / $8,709.64	Facility		$1,047.13	$5,754.40	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $6,760.83	Professional		$2,238.72	$2,754.23	$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 $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $4,570.88	Professional		$2,238.72	$2,951.21	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,801.89	Professional		$3,388.44	$3,388.44	$3,801.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,090.30 / $5,011.87	Professional		$2,089.30	$3,090.30	$5,011.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,511.38	Facility		$1,023.29	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,090.30 / $6,760.83	Professional		$2,290.87	$3,090.30	$6,760.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $5,248.07	Professional		$2,570.40	$2,691.53	$5,248.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,884.03	Facility		$2,238.72	$2,238.72	$2,884.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $2,884.03	Professional		$2,137.96	$2,290.87	$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 $2,089.30 / $2,818.38 / $4,677.35	Professional		$2,089.30	$2,818.38	$4,677.35