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 $2,137.96 / $2,511.89 / $6,165.95	Professional		$2,137.96	$2,511.89	$6,165.95
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 $2,137.96 / $3,162.28 / $4,466.84	Professional		$2,137.96	$3,162.28	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $4,897.79	Professional		$2,290.87	$3,162.28	$4,897.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,235.94 / $3,548.13	Professional		$2,511.89	$3,235.94	$3,548.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $4,570.88	Professional		$2,290.87	$3,019.95	$4,570.88
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 $2,187.76 / $3,019.95 / $7,079.46	Professional		$2,187.76	$3,019.95	$7,079.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $5,011.87	Facility		$3,162.28	$3,162.28	$5,011.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,801.89 / $5,248.07	Professional		$2,754.23	$3,801.89	$5,248.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,570.40 / $2,570.40	Facility		$2,398.83	$2,570.40	$2,570.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,454.71 / $2,570.40	Professional		$2,398.83	$2,454.71	$2,570.40
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 $2,290.87 / $2,951.21 / $4,786.30	Professional		$2,290.87	$2,951.21	$4,786.30