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 / $8,709.64	Facility		$1,047.13	$5,754.40	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $10,000.00	Professional		$3,467.37	$4,073.80	$10,000.00
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 $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $8,128.31	Professional		$3,548.13	$5,128.61	$8,128.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,025.60 / $7,079.46	Professional		$4,786.30	$6,025.60	$7,079.46
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $7,585.78	Professional		$3,548.13	$5,128.61	$7,585.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $8,511.38	Facility		$1,023.29	$4,265.80	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,786.30 / $11,481.54	Professional		$3,467.37	$4,786.30	$11,481.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $7,943.28	Facility		$4,466.84	$4,466.84	$7,943.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $6,760.83 / $8,511.38	Professional		$3,801.89	$6,760.83	$8,511.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,890.45	Facility		$3,467.37	$3,467.37	$3,890.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,981.07 / $4,168.69	Professional		$3,467.37	$3,981.07	$4,168.69
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 $3,630.78 / $4,897.79 / $8,128.31	Professional		$3,630.78	$4,897.79	$8,128.31