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 / $6,025.60	Professional		$1,819.70	$2,238.72	$6,025.60
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 $1,659.59 / $2,754.23 / $3,548.13	Professional		$1,659.59	$2,754.23	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $3,801.89	Professional		$1,862.09	$2,630.27	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,090.30	Professional		$2,691.53	$2,691.53	$3,090.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $4,265.80	Professional		$2,137.96	$2,630.27	$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 / $2,344.23 / $6,025.60	Professional		$1,862.09	$2,344.23	$6,025.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $3,311.31 / $4,570.88	Professional		$15.14	$3,311.31	$4,570.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,187.76	Facility		$1,819.70	$1,819.70	$2,187.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,862.09 / $2,187.76	Professional		$1,737.80	$1,862.09	$2,187.76
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