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 $1,479.11 / $1,737.80 / $4,365.16	Professional		$1,479.11	$1,737.80	$4,365.16
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 $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $3,467.37	Professional		$1,513.56	$2,187.76	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,090.30	Professional		$2,137.96	$2,691.53	$3,090.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $3,162.28	Professional		$1,513.56	$2,238.72	$3,162.28
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 $1,479.11 / $1,995.26 / $5,623.41	Professional		$1,479.11	$1,995.26	$5,623.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $3,467.37	Facility		$1,949.84	$1,949.84	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,951.21 / $3,630.78	Professional		$1,698.24	$2,951.21	$3,630.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,698.24	Facility		$1,584.89	$1,584.89	$1,698.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $1,737.80	Professional		$1,584.89	$1,698.24	$1,737.80
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 $1,584.89 / $2,089.30 / $3,388.44	Professional		$1,584.89	$2,089.30	$3,388.44