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 $3,981.07 / $4,677.35 / $12,022.64	Professional		$3,981.07	$4,677.35	$12,022.64
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 $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,754.40 / $9,332.54	Professional		$3,890.45	$5,754.40	$9,332.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $6,918.31 / $8,128.31	Professional		$5,495.41	$6,918.31	$8,128.31
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,888.44 / $8,511.38	Professional		$3,715.35	$5,888.44	$8,511.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,317.64	Facility		$1,023.29	$4,786.30	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,623.41 / $13,182.57	Professional		$4,073.80	$5,623.41	$13,182.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $7,762.47 / $9,772.37	Professional		$3,630.78	$7,762.47	$9,772.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,570.88	Facility		$3,467.37	$3,467.37	$4,570.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,265.80 / $4,786.30	Professional		$3,467.37	$4,265.80	$4,786.30
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 $3,981.07 / $5,754.40 / $9,549.93	Professional		$3,981.07	$5,754.40	$9,549.93