Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,370.32 / $8,511.38	Facility		$1,412.54	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $8,128.31	Professional		$3,548.13	$4,168.69	$8,128.31
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 $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $5,128.61 / $8,317.64	Professional		$3,311.31	$5,128.61	$8,317.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,760.83 / $7,585.78	Professional		$5,248.07	$6,760.83	$7,585.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,248.07 / $10,471.29	Professional		$3,981.07	$5,248.07	$10,471.29
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 $3,548.13 / $4,786.30 / $11,220.18	Professional		$3,548.13	$4,786.30	$11,220.18
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $8,511.38	Facility		$4,466.84	$4,466.84	$8,511.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $6,309.57 / $8,709.64	Professional		$3,801.89	$6,309.57	$8,709.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,073.80 / $4,073.80	Facility		$3,090.30	$4,073.80	$4,073.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $4,168.69 / $4,365.16	Professional		$3,890.45	$4,168.69	$4,365.16
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 $3,715.35 / $4,897.79 / $8,317.64	Professional		$3,715.35	$4,897.79	$8,317.64