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 $1,348.96 / $1,584.89 / $3,467.37	Professional		$1,348.96	$1,584.89	$3,467.37
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 $2,089.30 / $2,238.72 / $2,238.72	Professional		$2,089.30	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $2,511.89	Facility		$501.19	$794.33	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,778.28 / $3,162.28	Professional		$1,174.90	$1,778.28	$3,162.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,884.03	Professional		$1,548.82	$2,089.30	$2,884.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $2,630.27	Professional		$1,445.44	$1,621.81	$2,630.27
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 $1,380.38 / $1,949.84 / $4,365.16	Professional		$1,380.38	$1,949.84	$4,365.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $2,951.21	Facility		$2,137.96	$2,290.87	$2,951.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,630.27 / $3,162.28	Professional		$2,089.30	$2,630.27	$3,162.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,778.28	Facility		$1,445.44	$1,445.44	$1,778.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,445.44 / $1,513.56	Professional		$1,380.38	$1,445.44	$1,513.56
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 $1,230.27 / $1,659.59 / $2,691.53	Professional		$1,230.27	$1,659.59	$2,691.53