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 / $4,897.79 / $7,079.46	Professional		$2,089.30	$4,897.79	$7,079.46
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 $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $4,677.35 / $8,128.31	Professional		$1,819.70	$4,677.35	$8,128.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,760.83	Professional		$6,025.60	$6,025.60	$6,760.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $5,248.07 / $6,606.93	Professional		$1,621.81	$5,248.07	$6,606.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,317.64	Facility		$1,023.29	$4,786.30	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $5,128.61 / $10,000.00	Professional		$2,089.30	$5,128.61	$10,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,137.96 / $9,332.54	Professional		$2,041.74	$2,137.96	$9,332.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,981.07 / $3,981.07	Facility		$1,905.46	$3,981.07	$3,981.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,981.07 / $4,168.69	Professional		$1,905.46	$3,981.07	$4,168.69
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 $1,819.70 / $4,570.88 / $8,511.38	Professional		$1,819.70	$4,570.88	$8,511.38