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 / $3,235.94 / $5,754.40	Professional		$2,089.30	$3,235.94	$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 $4,168.69 / $4,168.69 / $4,168.69	Professional		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,162.28 / $5,370.32	Professional		$2,137.96	$3,162.28	$5,370.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,466.84	Professional		$3,981.07	$3,981.07	$4,466.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,548.13 / $5,495.41	Professional		$2,041.74	$3,548.13	$5,495.41
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 $2,398.83 / $3,388.44 / $7,079.46	Professional		$2,398.83	$3,388.44	$7,079.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,884.03 / $6,025.60	Professional		$2,691.53	$2,884.03	$6,025.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $2,691.53	Facility		$2,630.27	$2,691.53	$2,691.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,691.53 / $2,754.23	Professional		$2,511.89	$2,691.53	$2,754.23
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 $2,187.76 / $3,090.30 / $5,495.41	Professional		$2,187.76	$3,090.30	$5,495.41