Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,786.30 / $8,317.64	Facility		$1,202.26	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $3,548.13	Professional		$1,412.54	$1,698.24	$3,548.13
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 $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $3,467.37	Professional		$1,548.82	$2,137.96	$3,467.37
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 $1,584.89 / $2,187.76 / $3,311.31	Professional		$1,584.89	$2,187.76	$3,311.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $8,317.64	Facility		$1,023.29	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $4,786.30	Professional		$1,445.44	$1,995.26	$4,786.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,467.37	Facility		$1,995.26	$1,995.26	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,818.38 / $3,467.37	Professional		$1,819.70	$2,818.38	$3,467.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,698.24	Facility		$1,513.56	$1,513.56	$1,698.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,698.24 / $1,778.28	Professional		$1,513.56	$1,698.24	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,818.38 / $6,025.60	Facility		$1,659.59	$2,818.38	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,388.44	Professional		$1,513.56	$1,995.26	$3,388.44