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 $2,089.30 / $2,570.40 / $6,309.57	Professional		$2,089.30	$2,570.40	$6,309.57
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 $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,754.23 / $4,365.16	Professional		$2,089.30	$2,754.23	$4,365.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,548.13	Professional		$3,162.28	$3,162.28	$3,548.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $4,897.79	Professional		$2,041.74	$2,884.03	$4,897.79
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 $2,137.96 / $2,691.53 / $6,309.57	Professional		$2,137.96	$2,691.53	$6,309.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,951.21 / $5,128.61	Professional		$2,818.38	$2,951.21	$5,128.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,311.31 / $3,311.31	Facility		$2,089.30	$3,311.31	$3,311.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,137.96 / $3,311.31	Professional		$1,995.26	$2,137.96	$3,311.31
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 $2,041.74 / $2,691.53 / $4,365.16	Professional		$2,041.74	$2,691.53	$4,365.16