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 $1,445.44 / $1,659.59 / $3,311.31	Professional		$1,445.44	$1,659.59	$3,311.31
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 $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $3,235.94	Professional		$1,412.54	$2,041.74	$3,235.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,454.71	Professional		$1,698.24	$2,187.76	$2,454.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,090.30	Professional		$1,479.11	$1,995.26	$3,090.30
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 $1,445.44 / $1,905.46 / $4,786.30	Professional		$1,445.44	$1,905.46	$4,786.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,311.31	Facility		$1,905.46	$1,905.46	$3,311.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,570.40 / $3,630.78	Professional		$1,698.24	$2,570.40	$3,630.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,584.89	Facility		$1,445.44	$1,445.44	$1,584.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $1,621.81	Professional		$1,445.44	$1,548.82	$1,621.81
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 $1,318.26 / $1,819.70 / $3,235.94	Professional		$1,318.26	$1,819.70	$3,235.94