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 / $1,548.82 / $3,467.37	Professional		$1,348.96	$1,548.82	$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 $1,445.44 / $1,479.11 / $2,818.38	Professional		$1,445.44	$1,479.11	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $2,454.71	Facility		$489.78	$794.33	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,862.09 / $3,311.31	Professional		$1,122.02	$1,862.09	$3,311.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $2,818.38	Professional		$1,479.11	$2,041.74	$2,818.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,659.59 / $2,511.89	Professional		$1,380.38	$1,659.59	$2,511.89
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 $1,348.96 / $1,862.09 / $4,365.16	Professional		$1,348.96	$1,862.09	$4,365.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,884.03	Facility		$1,621.81	$1,621.81	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,570.40 / $3,235.94	Professional		$1,621.81	$2,570.40	$3,235.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,659.59	Facility		$1,412.54	$1,412.54	$1,659.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,412.54 / $1,659.59	Professional		$870.96	$1,412.54	$1,659.59
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 $1,202.26 / $1,698.24 / $2,754.23	Professional		$1,202.26	$1,698.24	$2,754.23