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 $2,238.72 / $2,754.23 / $7,244.36	Professional		$2,238.72	$2,754.23	$7,244.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
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 $2,041.74 / $3,388.44 / $4,365.16	Professional		$2,041.74	$3,388.44	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $4,677.35	Professional		$2,290.87	$3,019.95	$4,677.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,715.35	Professional		$3,311.31	$3,311.31	$3,715.35
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $5,248.07	Professional		$2,454.71	$3,162.28	$5,248.07
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 $2,290.87 / $3,090.30 / $7,079.46	Professional		$2,290.87	$3,090.30	$7,079.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $4,570.88 / $5,623.41	Professional		$15.14	$4,570.88	$5,623.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $2,344.23	Professional		$2,137.96	$2,238.72	$2,344.23
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 $2,187.76 / $2,951.21 / $4,786.30	Professional		$2,187.76	$2,951.21	$4,786.30