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 $2,754.23 / $3,311.31 / $8,709.64	Professional		$2,754.23	$3,311.31	$8,709.64
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 $4,365.16 / $4,786.30 / $4,786.30	Professional		$4,365.16	$4,786.30	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $5,248.07	Facility		$501.19	$794.33	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $6,309.57	Professional		$2,290.87	$3,548.13	$6,309.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Facility		$6,606.93	$6,606.93	$6,606.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,265.80 / $5,888.44	Professional		$3,162.28	$4,265.80	$5,888.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $5,128.61	Professional		$2,818.38	$3,235.94	$5,128.61
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 $2,754.23 / $3,890.45 / $8,709.64	Professional		$2,754.23	$3,890.45	$8,709.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $6,309.57	Facility		$3,311.31	$3,890.45	$6,309.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $5,248.07 / $6,309.57	Professional		$3,311.31	$5,248.07	$6,309.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $3,019.95	Facility		$2,818.38	$2,818.38	$3,019.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,090.30 / $3,162.28	Professional		$2,818.38	$3,090.30	$3,162.28
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 / $3,311.31 / $5,370.32	Professional		$2,454.71	$3,311.31	$5,370.32