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 $2,454.71 / $2,818.38 / $7,244.36	Professional		$2,454.71	$2,818.38	$7,244.36
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 $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,715.35 / $5,623.41	Professional		$2,570.40	$3,715.35	$5,623.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $4,365.16	Professional		$3,090.30	$3,981.07	$4,365.16
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $5,370.32	Professional		$2,511.89	$3,388.44	$5,370.32
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 / $3,548.13 / $8,709.64	Professional		$2,454.71	$3,548.13	$8,709.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $5,370.32	Facility		$3,311.31	$3,311.31	$5,370.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,365.16 / $6,165.95	Professional		$2,818.38	$4,365.16	$6,165.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,630.27 / $2,630.27	Facility		$2,570.40	$2,630.27	$2,630.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $2,754.23	Professional		$2,511.89	$2,630.27	$2,754.23
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 $2,511.89 / $3,235.94 / $5,370.32	Professional		$2,511.89	$3,235.94	$5,370.32