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 $1,288.25 / $1,698.24 / $3,801.89	Professional		$1,288.25	$1,698.24	$3,801.89
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 $2,570.40 / $2,570.40 / $2,570.40	Professional		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,995.26 / $3,388.44	Professional		$1,380.38	$1,995.26	$3,388.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,090.30	Professional		$2,137.96	$2,691.53	$3,090.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $3,630.78	Professional		$1,621.81	$2,089.30	$3,630.78
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 $1,412.54 / $1,949.84 / $5,128.61	Professional		$1,412.54	$1,949.84	$5,128.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,388.44	Facility		$1,905.46	$1,905.46	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $3,235.94	Professional		$1,659.59	$2,398.83	$3,235.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,659.59 / $1,659.59	Facility		$1,584.89	$1,659.59	$1,659.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $1,778.28	Professional		$1,584.89	$1,698.24	$1,778.28
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 $1,513.56 / $1,949.84 / $3,311.31	Professional		$1,513.56	$1,949.84	$3,311.31