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 $3,388.44 / $3,981.07 / $8,511.38	Professional		$3,388.44	$3,981.07	$8,511.38
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 $3,715.35 / $3,801.89 / $6,760.83	Professional		$3,715.35	$3,801.89	$6,760.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $6,309.57	Facility		$489.78	$794.33	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $7,943.28	Professional		$2,818.38	$4,677.35	$7,943.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Facility		$7,943.28	$7,943.28	$7,943.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,128.61 / $7,079.46	Professional		$3,801.89	$5,128.61	$7,079.46
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,168.69 / $6,165.95	Professional		$3,548.13	$4,168.69	$6,165.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,511.38	Facility		$1,023.29	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,786.30 / $10,471.29	Professional		$3,388.44	$4,786.30	$10,471.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $6,606.93 / $9,120.11	Professional		$15.14	$6,606.93	$9,120.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,168.69	Facility		$3,630.78	$3,630.78	$4,168.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,715.35 / $3,801.89	Professional		$3,467.37	$3,715.35	$3,801.89
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 / $4,265.80 / $6,918.31	Professional		$3,162.28	$4,265.80	$6,918.31