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 $1,621.81 / $1,949.84 / $4,677.35	Professional		$1,621.81	$1,949.84	$4,677.35
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 $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $3,890.45	Professional		$1,737.80	$2,454.71	$3,890.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,388.44	Professional		$2,344.23	$2,951.21	$3,388.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $3,715.35	Professional		$1,698.24	$2,454.71	$3,715.35
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 $1,621.81 / $2,187.76 / $6,025.60	Professional		$1,621.81	$2,187.76	$6,025.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,801.89	Facility		$2,570.40	$2,570.40	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,235.94 / $4,073.80	Professional		$2,041.74	$3,235.94	$4,073.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $2,290.87	Facility		$1,862.09	$2,290.87	$2,290.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,905.46 / $2,290.87	Professional		$1,778.28	$1,905.46	$2,290.87
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 $1,778.28 / $2,344.23 / $3,801.89	Professional		$1,778.28	$2,344.23	$3,801.89