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 $1,230.27 / $1,445.44 / $3,235.94	Professional		$1,230.27	$1,445.44	$3,235.94
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 $1,862.09 / $2,041.74 / $2,041.74	Professional		$1,862.09	$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 $1,122.02 / $1,584.89 / $2,884.03	Professional		$1,122.02	$1,584.89	$2,884.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,630.27	Professional		$1,412.54	$1,905.46	$2,630.27
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $2,290.87	Professional		$1,230.27	$1,445.44	$2,290.87
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 $1,230.27 / $1,737.80 / $3,981.07	Professional		$1,230.27	$1,737.80	$3,981.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,548.82 / $2,691.53	Facility		$1,380.38	$1,548.82	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,398.83 / $2,884.03	Professional		$1,380.38	$2,398.83	$2,884.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,348.96	Facility		$1,288.25	$1,288.25	$1,348.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,348.96	Professional		$1,288.25	$1,318.26	$1,348.96
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 $1,122.02 / $1,479.11 / $2,398.83	Professional		$1,122.02	$1,479.11	$2,398.83