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 $912.01 / $1,071.52 / $2,454.71	Professional		$912.01	$1,071.52	$2,454.71
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 $1,412.54 / $1,513.56 / $1,513.56	Professional		$1,412.54	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $1,698.24	Facility		$501.19	$794.33	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $2,137.96	Professional		$933.25	$1,202.26	$2,137.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $1,995.26	Professional		$1,047.13	$1,445.44	$1,995.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $1,737.80	Professional		$954.99	$1,096.48	$1,737.80
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 $933.25 / $1,318.26 / $3,019.95	Professional		$933.25	$1,318.26	$3,019.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $1,995.26	Facility		$1,230.27	$1,412.54	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $2,137.96	Professional		$1,230.27	$1,778.28	$2,137.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,071.52 / $1,071.52	Facility		$977.24	$1,071.52	$1,071.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,000.00 / $1,071.52	Professional		$977.24	$1,000.00	$1,071.52
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 $831.76 / $1,122.02 / $1,819.70	Professional		$831.76	$1,122.02	$1,819.70