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 $2,041.74 / $2,398.83 / $5,370.32	Professional		$2,041.74	$2,398.83	$5,370.32
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 $3,162.28 / $3,388.44 / $3,388.44	Professional		$3,162.28	$3,388.44	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $3,801.89	Facility		$501.19	$794.33	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,630.27 / $4,897.79	Professional		$1,659.59	$2,630.27	$4,897.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $4,365.16	Professional		$2,344.23	$3,162.28	$4,365.16
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $3,890.45	Professional		$2,041.74	$2,398.83	$3,890.45
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 $2,089.30 / $2,884.03 / $6,606.93	Professional		$2,089.30	$2,884.03	$6,606.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,570.40 / $4,466.84	Facility		$2,187.76	$2,570.40	$4,466.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $5,128.61	Professional		$2,187.76	$3,981.07	$5,128.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,290.87	Professional		$2,187.76	$2,187.76	$2,290.87
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 $1,862.09 / $2,511.89 / $4,073.80	Professional		$1,862.09	$2,511.89	$4,073.80