Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,165.95 / $9,332.54	Facility		$1,288.25	$6,165.95	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $7,585.78	Professional		$2,511.89	$3,090.30	$7,585.78
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 $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $5,128.61	Professional		$2,511.89	$3,311.31	$5,128.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,265.80	Professional		$3,890.45	$3,890.45	$4,265.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,548.13 / $5,623.41	Professional		$2,187.76	$3,548.13	$5,623.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $9,332.54	Facility		$1,023.29	$4,786.30	$9,332.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $7,244.36	Professional		$2,511.89	$3,311.31	$7,244.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,090.30 / $5,754.40	Professional		$2,951.21	$3,090.30	$5,754.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $3,235.94	Facility		$2,511.89	$3,235.94	$3,235.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,570.40 / $3,235.94	Professional		$2,398.83	$2,570.40	$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 $2,344.23 / $3,162.28 / $5,248.07	Professional		$2,344.23	$3,162.28	$5,248.07