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 $3,981.07 / $4,786.30 / $9,772.37	Professional		$3,981.07	$4,786.30	$9,772.37
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 $6,165.95 / $6,760.83 / $6,760.83	Professional		$6,165.95	$6,760.83	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $7,413.10	Facility		$501.19	$794.33	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $4,897.79 / $9,332.54	Professional		$2,187.76	$4,897.79	$9,332.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,025.60 / $8,317.64	Professional		$4,466.84	$6,025.60	$8,317.64
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $8,128.31	Professional		$4,168.69	$5,128.61	$8,128.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,677.35 / $8,317.64	Facility		$1,023.29	$4,677.35	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,623.41 / $12,589.25	Professional		$3,981.07	$5,623.41	$12,589.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $3,019.95 / $8,709.64	Facility		$2,570.40	$3,019.95	$8,709.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $7,762.47 / $9,772.37	Professional		$2,570.40	$7,762.47	$9,772.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,466.84	Facility		$4,265.80	$4,265.80	$4,466.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,365.16 / $4,466.84	Professional		$4,073.80	$4,365.16	$4,466.84
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 $2,951.21 / $4,786.30 / $7,943.28	Professional		$2,951.21	$4,786.30	$7,943.28