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 $1,905.46 / $2,187.76 / $5,754.40	Professional		$1,905.46	$2,187.76	$5,754.40
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 $3,311.31 / $4,073.80 / $4,073.80	Professional		$3,311.31	$4,073.80	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $4,365.16	Professional		$1,995.26	$2,754.23	$4,365.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,311.31 / $3,801.89	Professional		$2,630.27	$3,311.31	$3,801.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $4,168.69	Professional		$1,995.26	$2,754.23	$4,168.69
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 $1,905.46 / $2,630.27 / $6,165.95	Professional		$1,905.46	$2,630.27	$6,165.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $4,365.16	Facility		$2,630.27	$2,630.27	$4,365.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,715.35 / $4,570.88	Professional		$2,238.72	$3,715.35	$4,570.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,137.96 / $2,137.96	Facility		$2,089.30	$2,137.96	$2,137.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,137.96 / $2,238.72	Professional		$1,995.26	$2,137.96	$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 / $2,691.53 / $4,265.80	Professional		$1,995.26	$2,691.53	$4,265.80