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 $2,398.83 / $2,818.38 / $7,079.46	Professional		$2,398.83	$2,818.38	$7,079.46
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 $2,344.23 / $3,467.37 / $4,786.30	Professional		$2,344.23	$3,467.37	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,467.37 / $5,623.41	Professional		$2,454.71	$3,467.37	$5,623.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $3,981.07	Professional		$2,818.38	$3,630.78	$3,981.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $5,011.87	Professional		$2,398.83	$3,235.94	$5,011.87
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 $2,454.71 / $3,467.37 / $8,317.64	Professional		$2,454.71	$3,467.37	$8,317.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $5,888.44	Facility		$3,019.95	$3,019.95	$5,888.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,168.69 / $5,754.40	Professional		$2,691.53	$4,168.69	$5,754.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $2,691.53	Facility		$2,570.40	$2,691.53	$2,691.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $2,818.38	Professional		$2,570.40	$2,691.53	$2,818.38
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 $2,454.71 / $3,162.28 / $5,248.07	Professional		$2,454.71	$3,162.28	$5,248.07