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 $2,398.83 / $2,884.03 / $7,413.10	Professional		$2,398.83	$2,884.03	$7,413.10
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 $2,137.96 / $3,630.78 / $4,570.88	Professional		$2,137.96	$3,630.78	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $4,897.79	Professional		$2,398.83	$3,162.28	$4,897.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,890.45	Professional		$3,467.37	$3,467.37	$3,890.45
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $5,495.41	Professional		$2,570.40	$3,311.31	$5,495.41
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 $2,398.83 / $3,162.28 / $7,244.36	Professional		$2,398.83	$3,162.28	$7,244.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $2,818.38 / $5,754.40	Professional		$15.14	$2,818.38	$5,754.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,344.23	Facility		$2,290.87	$2,290.87	$2,344.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,290.87 / $2,454.71	Professional		$2,238.72	$2,290.87	$2,454.71
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 $2,290.87 / $3,090.30 / $5,011.87	Professional		$2,290.87	$3,090.30	$5,011.87