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 $2,570.40 / $3,090.30 / $6,165.95	Professional		$2,570.40	$3,090.30	$6,165.95
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 $2,570.40 / $3,715.35 / $5,248.07	Professional		$2,570.40	$3,715.35	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $11,748.98 / $13,803.84	Professional		$10,964.78	$11,748.98	$13,803.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,466.84 / $4,897.79	Professional		$3,467.37	$4,466.84	$4,897.79
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,715.35 / $5,370.32	Professional		$2,511.89	$3,715.35	$5,370.32
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 $2,570.40 / $3,548.13 / $7,762.47	Professional		$2,570.40	$3,548.13	$7,762.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $5,888.44	Facility		$3,311.31	$3,311.31	$5,888.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,897.79 / $6,025.60	Professional		$2,818.38	$4,897.79	$6,025.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,884.03 / $2,951.21	Professional		$2,691.53	$2,884.03	$2,951.21
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 $2,398.83 / $3,162.28 / $5,754.40	Professional		$2,398.83	$3,162.28	$5,754.40