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 $3,890.45 / $4,570.88 / $12,882.50	Professional		$3,890.45	$4,570.88	$12,882.50
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 $6,918.31 / $6,918.31 / $6,918.31	Professional		$6,918.31	$6,918.31	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,754.40 / $9,120.11	Professional		$4,265.80	$5,754.40	$9,120.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,760.83 / $7,762.47	Professional		$5,370.32	$6,760.83	$7,762.47
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,754.40 / $9,120.11	Professional		$4,265.80	$5,754.40	$9,120.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,317.64	Facility		$1,023.29	$4,570.88	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,623.41 / $13,489.63	Professional		$3,890.45	$5,623.41	$13,489.63
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $8,912.51	Facility		$5,623.41	$5,623.41	$8,912.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $7,413.10 / $9,549.93	Professional		$4,897.79	$7,413.10	$9,549.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,365.16	Facility		$4,073.80	$4,073.80	$4,365.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,466.84 / $4,677.35	Professional		$4,073.80	$4,466.84	$4,677.35
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 $4,365.16 / $5,623.41 / $9,332.54	Professional		$4,365.16	$5,623.41	$9,332.54