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 $1,621.81 / $1,995.26 / $5,248.07	Professional		$1,621.81	$1,995.26	$5,248.07
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 $1,479.11 / $2,511.89 / $3,162.28	Professional		$1,479.11	$2,511.89	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $3,388.44	Professional		$1,659.59	$2,238.72	$3,388.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,691.53	Professional		$2,398.83	$2,398.83	$2,691.53
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $3,981.07	Professional		$1,778.28	$2,290.87	$3,981.07
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 $1,659.59 / $2,137.96 / $5,248.07	Professional		$1,659.59	$2,137.96	$5,248.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $4,073.80	Professional		$1,737.80	$1,819.70	$4,073.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,995.26	Facility		$1,621.81	$1,621.81	$1,995.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,659.59 / $1,995.26	Professional		$1,548.82	$1,659.59	$1,995.26
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 $1,584.89 / $2,187.76 / $3,467.37	Professional		$1,584.89	$2,187.76	$3,467.37