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 $1,659.59 / $1,995.26 / $5,128.61	Professional		$1,659.59	$1,995.26	$5,128.61
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 $3,019.95 / $3,019.95 / $3,019.95	Professional		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $3,981.07	Professional		$1,698.24	$2,454.71	$3,981.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,019.95 / $3,467.37	Professional		$2,398.83	$3,019.95	$3,467.37
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $3,467.37	Professional		$1,778.28	$2,511.89	$3,467.37
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 $1,698.24 / $2,290.87 / $6,309.57	Professional		$1,698.24	$2,290.87	$6,309.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $3,981.07	Facility		$2,454.71	$2,454.71	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,981.07	Professional		$2,137.96	$2,818.38	$3,981.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,995.26 / $1,995.26	Facility		$1,949.84	$1,995.26	$1,995.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,995.26 / $2,041.74	Professional		$1,819.70	$1,995.26	$2,041.74
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 $1,819.70 / $2,344.23 / $3,890.45	Professional		$1,819.70	$2,344.23	$3,890.45