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 / $1,949.84 / $5,370.32	Professional		$1,659.59	$1,949.84	$5,370.32
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 $1,698.24 / $2,454.71 / $3,548.13	Professional		$1,698.24	$2,454.71	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $3,890.45	Professional		$1,737.80	$2,398.83	$3,890.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,388.44	Professional		$2,344.23	$2,951.21	$3,388.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $3,715.35	Professional		$1,778.28	$2,454.71	$3,715.35
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 / $2,398.83 / $6,309.57	Professional		$1,698.24	$2,398.83	$6,309.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,548.13 / $3,981.07	Professional		$2,754.23	$3,548.13	$3,981.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $1,862.09	Facility		$1,479.11	$1,778.28	$1,862.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,862.09 / $1,949.84	Professional		$1,479.11	$1,862.09	$1,949.84
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 $1,737.80 / $2,344.23 / $3,801.89	Professional		$1,737.80	$2,344.23	$3,801.89