Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,370.32 / $8,511.38	Facility		$1,047.13	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $5,754.40	Professional		$1,584.89	$2,041.74	$5,754.40
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 $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $3,388.44	Professional		$1,584.89	$2,187.76	$3,388.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,818.38	Professional		$2,570.40	$2,570.40	$2,818.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,344.23 / $3,715.35	Professional		$1,584.89	$2,344.23	$3,715.35
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 $1,659.59 / $2,137.96 / $4,570.88	Professional		$1,659.59	$2,137.96	$4,570.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,344.23 / $3,890.45	Professional		$2,238.72	$2,344.23	$3,890.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,659.59 / $1,737.80	Professional		$1,584.89	$1,659.59	$1,737.80
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 $1,584.89 / $2,041.74 / $3,467.37	Professional		$1,584.89	$2,041.74	$3,467.37