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 $2,089.30 / $2,398.83 / $6,165.95	Professional		$2,089.30	$2,398.83	$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 $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $4,786.30	Professional		$2,187.76	$3,019.95	$4,786.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $4,168.69	Professional		$2,884.03	$3,630.78	$4,168.69
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,019.95 / $4,677.35	Professional		$2,187.76	$3,019.95	$4,677.35
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 $2,089.30 / $2,818.38 / $7,244.36	Professional		$2,089.30	$2,818.38	$7,244.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $4,786.30	Facility		$2,951.21	$2,951.21	$4,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,981.07 / $5,011.87	Professional		$2,570.40	$3,981.07	$5,011.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $2,290.87 / $2,454.71	Professional		$416.87	$2,290.87	$2,454.71
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 $2,238.72 / $2,951.21 / $4,677.35	Professional		$2,238.72	$2,951.21	$4,677.35