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 $1,698.24 / $2,041.74 / $5,128.61	Professional		$1,698.24	$2,041.74	$5,128.61
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 $1,698.24 / $2,290.87 / $3,467.37	Professional		$1,698.24	$2,290.87	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,884.03	Professional		$2,570.40	$2,570.40	$2,884.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,801.89	Professional		$1,778.28	$2,398.83	$3,801.89
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 $1,778.28 / $2,290.87 / $5,495.41	Professional		$1,778.28	$2,290.87	$5,495.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $3,890.45	Professional		$2,344.23	$2,454.71	$3,890.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $2,454.71	Facility		$1,698.24	$2,454.71	$2,454.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,737.80 / $2,454.71	Professional		$1,621.81	$1,737.80	$2,454.71
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 $1,659.59 / $2,238.72 / $3,548.13	Professional		$1,659.59	$2,238.72	$3,548.13