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 $1,659.59 / $2,041.74 / $4,168.69	Professional		$1,659.59	$2,041.74	$4,168.69
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 $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,715.35	Professional		$1,778.28	$2,398.83	$3,715.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $2,818.38	Professional		$1,995.26	$2,570.40	$2,818.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $3,630.78	Professional		$1,778.28	$2,344.23	$3,630.78
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 $1,659.59 / $2,344.23 / $5,495.41	Professional		$1,659.59	$2,344.23	$5,495.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,715.35	Facility		$2,511.89	$2,511.89	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $3,981.07	Professional		$2,187.76	$2,951.21	$3,981.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $2,137.96	Facility		$1,819.70	$2,137.96	$2,137.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,862.09 / $2,137.96	Professional		$1,819.70	$1,862.09	$2,137.96
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 $1,659.59 / $2,238.72 / $3,801.89	Professional		$1,659.59	$2,238.72	$3,801.89