Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,165.95 / $9,549.93	Facility		$1,288.25	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,019.95 / $6,309.57	Professional		$2,511.89	$3,019.95	$6,309.57
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 $3,890.45 / $4,168.69 / $4,168.69	Professional		$3,890.45	$4,168.69	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $4,570.88	Facility		$501.19	$794.33	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $3,162.28 / $5,495.41	Professional		$1,949.84	$3,162.28	$5,495.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $4,897.79	Professional		$2,570.40	$3,467.37	$4,897.79
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,754.23 / $4,466.84	Professional		$2,290.87	$2,754.23	$4,466.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,709.64	Facility		$1,023.29	$4,786.30	$8,709.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $7,762.47	Professional		$2,511.89	$3,548.13	$7,762.47
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,691.53 / $5,623.41	Facility		$2,398.83	$2,691.53	$5,623.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $4,570.88 / $6,025.60	Professional		$2,398.83	$4,570.88	$6,025.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,691.53	Facility		$2,454.71	$2,454.71	$2,691.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,691.53 / $2,818.38	Professional		$2,454.71	$2,691.53	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,089.30 / $6,309.57	Facility		$316.23	$2,089.30	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $4,897.79	Professional		$2,137.96	$2,884.03	$4,897.79