Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,370.32 / $8,511.38	Facility		$1,412.54	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,995.26 / $4,073.80	Professional		$1,778.28	$1,995.26	$4,073.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $3,548.13	Professional		$1,698.24	$2,511.89	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,454.71 / $3,890.45	Professional		$1,698.24	$2,454.71	$3,890.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $2,884.03	Professional		$2,041.74	$2,630.27	$2,884.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,715.35	Professional		$1,778.28	$2,398.83	$3,715.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $5,623.41	Professional		$1,778.28	$2,344.23	$5,623.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $4,073.80	Facility		$2,454.71	$2,454.71	$4,073.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $4,265.80	Professional		$2,137.96	$3,090.30	$4,265.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,949.84	Facility		$1,862.09	$1,862.09	$1,949.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,949.84 / $2,041.74	Professional		$1,862.09	$1,949.84	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $18,197.01	Facility		$2,344.23	$4,466.84	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $3,890.45	Professional		$1,659.59	$2,187.76	$3,890.45