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 $1,412.54 / $1,659.59 / $3,311.31	Professional		$1,412.54	$1,659.59	$3,311.31
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 $1,513.56 / $1,584.89 / $2,951.21	Professional		$1,513.56	$1,584.89	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $2,630.27	Facility		$489.78	$794.33	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,995.26 / $3,548.13	Professional		$1,174.90	$1,995.26	$3,548.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,951.21	Professional		$1,584.89	$2,137.96	$2,951.21
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $2,691.53	Professional		$1,479.11	$1,819.70	$2,691.53
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 $1,445.44 / $1,995.26 / $4,570.88	Professional		$1,445.44	$1,995.26	$4,570.88
Oscar 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
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $3,801.89	Professional		$2,137.96	$3,019.95	$3,801.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,819.70	Facility		$1,479.11	$1,479.11	$1,819.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,513.56 / $1,548.82	Professional		$1,412.54	$1,513.56	$1,548.82
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 $1,288.25 / $1,819.70 / $2,951.21	Professional		$1,288.25	$1,819.70	$2,951.21