Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,754.40 / $8,511.38	Facility		$1,412.54	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $5,248.07	Professional		$1,737.80	$2,041.74	$5,248.07
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 $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,570.40 / $4,073.80	Professional		$1,737.80	$2,570.40	$4,073.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,090.30 / $3,548.13	Professional		$2,454.71	$3,090.30	$3,548.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $3,801.89	Professional		$1,819.70	$2,570.40	$3,801.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,317.64	Facility		$1,023.29	$4,786.30	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $6,456.54	Professional		$1,737.80	$2,398.83	$6,456.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,981.07	Facility		$2,398.83	$2,398.83	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,388.44 / $4,168.69	Professional		$2,089.30	$3,388.44	$4,168.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $2,041.74	Facility		$691.83	$691.83	$2,041.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,862.09 / $2,041.74	Professional		$691.83	$1,862.09	$2,041.74
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 $1,862.09 / $2,454.71 / $3,981.07	Professional		$1,862.09	$2,454.71	$3,981.07