Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,888.44 / $8,511.38	Facility		$1,047.13	$5,888.44	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,754.40 / $10,232.93	Professional		$3,630.78	$5,754.40	$10,232.93
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 $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $8,128.31	Professional		$7,244.36	$7,244.36	$8,128.31
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,456.54 / $10,964.78	Professional		$5,754.40	$6,456.54	$10,964.78
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 $4,265.80 / $6,165.95 / $12,589.25	Professional		$4,265.80	$6,165.95	$12,589.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $10,964.78	Professional		$5,011.87	$5,248.07	$10,964.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $5,011.87 / $5,011.87	Facility		$4,786.30	$5,011.87	$5,011.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,786.30 / $5,011.87	Professional		$4,570.88	$4,786.30	$5,011.87
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 $3,981.07 / $5,495.41 / $10,000.00	Professional		$3,981.07	$5,495.41	$10,000.00