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 $1,412.54 / $1,698.24 / $3,467.37	Professional		$1,412.54	$1,698.24	$3,467.37
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 $2,398.83 / $2,630.27 / $2,630.27	Professional		$2,398.83	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,090.30	Professional		$1,318.26	$1,905.46	$3,090.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $2,630.27	Professional		$1,819.70	$2,344.23	$2,630.27
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $4,265.80	Professional		$1,412.54	$1,949.84	$4,265.80
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 $1,412.54 / $1,905.46 / $4,265.80	Professional		$1,412.54	$1,905.46	$4,265.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,162.28	Facility		$1,819.70	$1,819.70	$3,162.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $3,019.95	Professional		$1,737.80	$2,570.40	$3,019.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,548.82	Facility		$1,445.44	$1,445.44	$1,548.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $1,819.70	Professional		$1,445.44	$1,548.82	$1,819.70
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 $1,348.96 / $1,737.80 / $3,162.28	Professional		$1,348.96	$1,737.80	$3,162.28