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 $4,466.84 / $5,370.32 / $10,964.78	Professional		$4,466.84	$5,370.32	$10,964.78
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 $6,918.31 / $7,585.78 / $7,585.78	Professional		$6,918.31	$7,585.78	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $8,317.64	Facility		$501.19	$794.33	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $5,495.41 / $10,471.29	Professional		$2,137.96	$5,495.41	$10,471.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,760.83 / $9,332.54	Professional		$5,011.87	$6,760.83	$9,332.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,754.40 / $9,120.11	Professional		$4,570.88	$5,754.40	$9,120.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,317.64	Facility		$1,023.29	$4,786.30	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,165.95 / $14,125.38	Professional		$4,466.84	$6,165.95	$14,125.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $9,772.37	Facility		$2,454.71	$2,818.38	$9,772.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $7,943.28 / $11,220.18	Professional		$2,454.71	$7,943.28	$11,220.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,011.87	Facility		$4,786.30	$4,786.30	$5,011.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,897.79 / $5,011.87	Professional		$4,570.88	$4,897.79	$5,011.87
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 $3,162.28 / $5,370.32 / $8,912.51	Professional		$3,162.28	$5,370.32	$8,912.51