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 $1,737.80 / $2,089.30 / $5,370.32	Professional		$1,737.80	$2,089.30	$5,370.32
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 $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $3,548.13	Professional		$1,778.28	$2,344.23	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,019.95	Professional		$2,691.53	$2,691.53	$3,019.95
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,981.07	Professional		$1,862.09	$2,454.71	$3,981.07
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 $1,737.80 / $2,238.72 / $4,786.30	Professional		$1,737.80	$2,238.72	$4,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $4,168.69	Professional		$2,884.03	$3,019.95	$4,168.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,235.94	Facility		$1,737.80	$1,737.80	$3,235.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,778.28 / $3,235.94	Professional		$1,659.59	$1,778.28	$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 $1,698.24 / $2,290.87 / $3,630.78	Professional		$1,698.24	$2,290.87	$3,630.78