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 $2,818.38 / $3,388.44 / $8,128.31	Professional		$2,818.38	$3,388.44	$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 $2,884.03 / $4,265.80 / $6,025.60	Professional		$2,884.03	$4,265.80	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,073.80 / $6,760.83	Professional		$2,754.23	$4,073.80	$6,760.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,248.07 / $5,888.44	Professional		$4,073.80	$5,248.07	$5,888.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,265.80 / $5,888.44	Professional		$2,818.38	$4,265.80	$5,888.44
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 $2,818.38 / $3,981.07 / $8,912.51	Professional		$2,818.38	$3,981.07	$8,912.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $6,760.83	Facility		$3,467.37	$3,467.37	$6,760.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $5,754.40 / $6,918.31	Professional		$3,019.95	$5,754.40	$6,918.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,235.94	Facility		$2,884.03	$2,884.03	$3,235.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,235.94 / $3,388.44	Professional		$2,884.03	$3,235.94	$3,388.44
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 $2,951.21 / $3,981.07 / $6,456.54	Professional		$2,951.21	$3,981.07	$6,456.54