Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,165.95 / $9,549.93	Facility		$1,288.25	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $3,388.44	Professional		$1,288.25	$1,513.56	$3,388.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $21,379.62 / $57,543.99	Facility		$8,511.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,137.96 / $2,137.96	Professional		$1,949.84	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $2,344.23	Facility		$501.19	$794.33	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $2,951.21	Professional		$1,122.02	$1,659.59	$2,951.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,754.23	Professional		$1,479.11	$1,995.26	$2,754.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $2,398.83	Professional		$1,288.25	$1,479.11	$2,398.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,709.64	Facility		$1,023.29	$4,786.30	$8,709.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $4,168.69	Professional		$1,288.25	$1,819.70	$4,168.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,513.56 / $2,818.38	Facility		$1,479.11	$1,513.56	$2,818.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,511.89 / $3,162.28	Professional		$1,479.11	$2,511.89	$3,162.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,348.96	Facility		$1,230.27	$1,348.96	$1,348.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,412.54	Professional		$1,288.25	$1,380.38	$1,412.54
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 $1,174.90 / $1,548.82 / $2,511.89	Professional		$1,174.90	$1,548.82	$2,511.89