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 $1,819.70 / $2,238.72 / $5,888.44	Professional		$1,819.70	$2,238.72	$5,888.44
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 $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,511.89 / $3,801.89	Professional		$1,862.09	$2,511.89	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,019.95	Professional		$2,691.53	$2,691.53	$3,019.95
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $4,265.80	Professional		$1,995.26	$2,570.40	$4,265.80
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 $1,862.09 / $2,398.83 / $5,888.44	Professional		$1,862.09	$2,398.83	$5,888.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $2,454.71 / $4,570.88	Professional		$15.14	$2,454.71	$4,570.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $2,041.74	Facility		$1,819.70	$2,041.74	$2,041.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $2,041.74	Professional		$1,737.80	$1,862.09	$2,041.74
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 $1,778.28 / $2,454.71 / $3,890.45	Professional		$1,778.28	$2,454.71	$3,890.45