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 $1,819.70 / $2,137.96 / $5,495.41	Professional		$1,819.70	$2,137.96	$5,495.41
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 $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $4,265.80	Professional		$1,905.46	$2,691.53	$4,265.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,235.94 / $3,715.35	Professional		$2,570.40	$3,235.94	$3,715.35
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $4,073.80	Professional		$1,949.84	$2,691.53	$4,073.80
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 $1,819.70 / $2,630.27 / $6,165.95	Professional		$1,819.70	$2,630.27	$6,165.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $4,265.80	Facility		$2,691.53	$2,691.53	$4,265.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,630.78 / $4,466.84	Professional		$2,290.87	$3,630.78	$4,466.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Professional		$2,238.72	$2,238.72	$2,238.72
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 $1,995.26 / $2,570.40 / $4,168.69	Professional		$1,995.26	$2,570.40	$4,168.69