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 $1,202.26 / $1,445.44 / $2,884.03	Professional		$1,202.26	$1,445.44	$2,884.03
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 $1,905.46 / $2,041.74 / $2,041.74	Professional		$1,905.46	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $2,290.87	Facility		$501.19	$794.33	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,818.38	Professional		$1,000.00	$1,513.56	$2,818.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,570.40	Professional		$1,380.38	$1,862.09	$2,570.40
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $2,238.72	Professional		$1,174.90	$1,380.38	$2,238.72
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 $1,202.26 / $1,737.80 / $3,981.07	Professional		$1,202.26	$1,737.80	$3,981.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,691.53	Facility		$1,202.26	$1,202.26	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,344.23 / $2,818.38	Professional		$1,202.26	$2,344.23	$2,818.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,318.26	Facility		$1,122.02	$1,122.02	$1,318.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,380.38	Professional		$1,258.93	$1,318.26	$1,380.38
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 $1,096.48 / $1,445.44 / $2,398.83	Professional		$1,096.48	$1,445.44	$2,398.83