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 $2,137.96 / $2,630.27 / $6,606.93	Professional		$2,137.96	$2,630.27	$6,606.93
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 $1,862.09 / $3,235.94 / $4,168.69	Professional		$1,862.09	$3,235.94	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $4,365.16	Professional		$2,187.76	$2,884.03	$4,365.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,467.37	Professional		$3,090.30	$3,090.30	$3,467.37
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $4,897.79	Professional		$2,238.72	$2,951.21	$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 $2,187.76 / $2,818.38 / $7,244.36	Professional		$2,187.76	$2,818.38	$7,244.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,511.89 / $5,011.87	Professional		$2,398.83	$2,511.89	$5,011.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $2,630.27	Facility		$2,137.96	$2,630.27	$2,630.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,187.76 / $2,630.27	Professional		$2,041.74	$2,187.76	$2,630.27
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 $2,089.30 / $2,818.38 / $4,570.88	Professional		$2,089.30	$2,818.38	$4,570.88