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 $2,454.71 / $2,884.03 / $6,025.60	Professional		$2,454.71	$2,884.03	$6,025.60
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 $3,801.89 / $4,168.69 / $4,168.69	Professional		$3,801.89	$4,168.69	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $4,570.88	Facility		$501.19	$794.33	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $5,623.41	Professional		$1,995.26	$3,019.95	$5,623.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,715.35 / $5,128.61	Professional		$2,754.23	$3,715.35	$5,128.61
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $4,466.84	Professional		$2,344.23	$2,754.23	$4,466.84
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 $2,398.83 / $3,467.37 / $7,585.78	Professional		$2,398.83	$3,467.37	$7,585.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,951.21 / $5,370.32	Facility		$2,511.89	$2,951.21	$5,370.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $4,570.88 / $5,370.32	Professional		$2,511.89	$4,570.88	$5,370.32
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,630.27	Facility		$2,511.89	$2,511.89	$2,630.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $2,754.23	Professional		$2,511.89	$2,630.27	$2,754.23
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 $2,187.76 / $2,951.21 / $4,786.30	Professional		$2,187.76	$2,951.21	$4,786.30