Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $8,511.38	Facility		$1,288.25	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $6,165.95	Professional		$2,454.71	$2,951.21	$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 $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $5,754.40	Professional		$2,511.89	$3,548.13	$5,754.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,168.69 / $4,677.35	Professional		$3,235.94	$4,168.69	$4,677.35
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,630.78 / $5,623.41	Professional		$2,570.40	$3,630.78	$5,623.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $8,511.38	Facility		$1,023.29	$4,265.80	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $7,943.28	Professional		$2,570.40	$3,388.44	$7,943.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $5,888.44	Facility		$3,235.94	$3,235.94	$5,888.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $6,025.60	Professional		$2,818.38	$4,677.35	$6,025.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,884.03	Facility		$2,691.53	$2,691.53	$2,884.03
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 $2,454.71 / $3,311.31 / $5,754.40	Professional		$2,454.71	$3,311.31	$5,754.40