Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,165.95 / $8,709.64	Facility		$1,412.54	$6,165.95	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $5,754.40	Professional		$1,862.09	$2,238.72	$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 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $4,466.84	Professional		$1,995.26	$2,818.38	$4,466.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $3,890.45	Professional		$2,691.53	$3,311.31	$3,890.45
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,818.38 / $4,265.80	Professional		$2,041.74	$2,818.38	$4,265.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,511.38	Facility		$1,023.29	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,630.27 / $6,165.95	Professional		$1,862.09	$2,630.27	$6,165.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $4,365.16	Facility		$2,570.40	$2,570.40	$4,365.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,715.35 / $4,570.88	Professional		$2,290.87	$3,715.35	$4,570.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,137.96	Facility		$2,089.30	$2,089.30	$2,137.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,187.76 / $2,238.72	Professional		$2,041.74	$2,187.76	$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 $2,041.74 / $2,691.53 / $4,365.16	Professional		$2,041.74	$2,691.53	$4,365.16