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 $1,584.89 / $1,949.84 / $4,786.30	Professional		$1,584.89	$1,949.84	$4,786.30
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 $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,235.94	Professional		$1,621.81	$2,187.76	$3,235.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,754.23	Professional		$2,454.71	$2,454.71	$2,754.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,630.78	Professional		$1,698.24	$2,238.72	$3,630.78
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 $1,584.89 / $2,137.96 / $5,248.07	Professional		$1,584.89	$2,137.96	$5,248.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $3,715.35	Professional		$2,454.71	$2,570.40	$3,715.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,691.53	Facility		$1,584.89	$1,584.89	$2,691.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,621.81 / $2,691.53	Professional		$1,513.56	$1,621.81	$2,691.53
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 $1,548.82 / $2,089.30 / $3,311.31	Professional		$1,548.82	$2,089.30	$3,311.31