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 $1,584.89 / $1,905.46 / $3,890.45	Professional		$1,584.89	$1,905.46	$3,890.45
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 $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,467.37	Professional		$1,621.81	$2,187.76	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $2,630.27	Professional		$1,862.09	$2,398.83	$2,630.27
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $3,388.44	Professional		$1,698.24	$2,187.76	$3,388.44
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 $1,584.89 / $2,238.72 / $5,128.61	Professional		$1,584.89	$2,238.72	$5,128.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,467.37	Facility		$2,630.27	$2,630.27	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,754.23 / $3,715.35	Professional		$2,187.76	$2,754.23	$3,715.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,238.72	Facility		$1,698.24	$1,698.24	$2,238.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,698.24 / $1,778.28	Professional		$1,659.59	$1,698.24	$1,778.28
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 $1,513.56 / $2,041.74 / $3,548.13	Professional		$1,513.56	$2,041.74	$3,548.13