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 $1,995.26 / $2,511.89 / $5,888.44	Professional		$1,995.26	$2,511.89	$5,888.44
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 $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,019.95 / $5,128.61	Professional		$1,949.84	$3,019.95	$5,128.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,890.45 / $4,466.84	Professional		$3,090.30	$3,890.45	$4,466.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,235.94 / $4,265.80	Professional		$2,041.74	$3,235.94	$4,265.80
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 $2,137.96 / $2,951.21 / $7,244.36	Professional		$2,137.96	$2,951.21	$7,244.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $5,128.61	Facility		$2,884.03	$2,884.03	$5,128.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,630.78 / $5,128.61	Professional		$2,454.71	$3,630.78	$5,128.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,570.40	Facility		$2,511.89	$2,511.89	$2,570.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,570.40 / $2,630.27	Professional		$2,344.23	$2,570.40	$2,630.27
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 $2,238.72 / $2,951.21 / $5,011.87	Professional		$2,238.72	$2,951.21	$5,011.87