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 $1,047.13 / $1,202.26 / $2,398.83	Professional		$1,047.13	$1,202.26	$2,398.83
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 $1,096.48 / $1,148.15 / $2,137.96	Professional		$1,096.48	$1,148.15	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $1,905.46	Facility		$489.78	$794.33	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,445.44 / $2,511.89	Professional		$891.25	$1,445.44	$2,511.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,137.96	Professional		$1,148.15	$1,584.89	$2,137.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,949.84	Professional		$1,071.52	$1,318.26	$1,949.84
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 $1,047.13 / $1,445.44 / $3,311.31	Professional		$1,047.13	$1,445.44	$3,311.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $2,238.72	Facility		$1,230.27	$1,288.25	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,995.26 / $2,454.71	Professional		$1,230.27	$1,995.26	$2,454.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $1,318.26	Facility		$1,096.48	$1,318.26	$1,318.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,096.48 / $1,318.26	Professional		$588.84	$1,096.48	$1,318.26
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 $954.99 / $1,318.26 / $2,137.96	Professional		$954.99	$1,318.26	$2,137.96