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 $3,467.37 / $4,073.80 / $8,128.31	Professional		$3,467.37	$4,073.80	$8,128.31
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 $5,370.32 / $5,754.40 / $5,754.40	Professional		$5,370.32	$5,754.40	$5,754.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $6,456.54	Facility		$501.19	$794.33	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $4,168.69 / $8,128.31	Professional		$1,819.70	$4,168.69	$8,128.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility		$8,128.31	$8,128.31	$8,128.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,248.07 / $7,244.36	Professional		$3,890.45	$5,248.07	$7,244.36
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $6,309.57	Professional		$1,819.70	$3,890.45	$6,309.57
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 $3,467.37 / $4,897.79 / $10,715.19	Professional		$3,467.37	$4,897.79	$10,715.19
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $7,585.78	Facility		$2,187.76	$2,511.89	$7,585.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $6,760.83 / $8,128.31	Professional		$2,187.76	$6,760.83	$8,128.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,801.89 / $3,801.89	Facility		$3,715.35	$3,801.89	$3,801.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,715.35 / $3,890.45	Professional		$3,548.13	$3,715.35	$3,890.45
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 $2,454.71 / $4,073.80 / $6,760.83	Professional		$2,454.71	$4,073.80	$6,760.83