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 $5,248.07 / $5,888.44 / $15,848.93	Professional		$5,248.07	$5,888.44	$15,848.93
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 $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $7,244.36 / $12,022.64	Professional		$5,370.32	$7,244.36	$12,022.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $8,317.64 / $9,332.54	Professional		$6,606.93	$8,317.64	$9,332.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $7,413.10 / $11,481.54	Professional		$5,495.41	$7,413.10	$11,481.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,317.64	Facility		$1,023.29	$4,786.30	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,606.93 / $15,488.17	Professional		$5,370.32	$6,606.93	$15,488.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $11,481.54	Facility		$2,951.21	$2,951.21	$11,481.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $9,332.54 / $12,882.50	Professional		$2,630.27	$9,332.54	$12,882.50
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $5,623.41 / $5,623.41	Facility		$4,897.79	$5,623.41	$5,623.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,754.40 / $5,888.44	Professional		$5,370.32	$5,754.40	$5,888.44
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 $4,786.30 / $6,760.83 / $12,022.64	Professional		$4,786.30	$6,760.83	$12,022.64