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 $1,445.44 / $1,737.80 / $4,466.84	Professional		$1,445.44	$1,737.80	$4,466.84
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 $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $3,467.37	Professional		$1,584.89	$2,137.96	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $3,019.95	Professional		$2,089.30	$2,691.53	$3,019.95
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $3,311.31	Professional		$1,584.89	$2,238.72	$3,311.31
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 / $5,495.41	Professional		$1,479.11	$1,995.26	$5,495.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,388.44	Facility		$1,995.26	$1,995.26	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,951.21 / $3,548.13	Professional		$1,862.09	$2,951.21	$3,548.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,659.59	Facility		$1,621.81	$1,621.81	$1,659.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,621.81 / $1,698.24	Professional		$588.84	$1,621.81	$1,698.24
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