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 $1,905.46 / $2,290.87 / $5,128.61	Professional		$1,905.46	$2,290.87	$5,128.61
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 $3,019.95 / $3,235.94 / $3,235.94	Professional		$3,019.95	$3,235.94	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $3,630.78	Facility		$501.19	$794.33	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $4,466.84	Professional		$1,445.44	$2,344.23	$4,466.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $3,981.07	Professional		$2,137.96	$2,951.21	$3,981.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $3,548.13	Professional		$1,584.89	$2,137.96	$3,548.13
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 $1,905.46 / $2,754.23 / $6,309.57	Professional		$1,905.46	$2,754.23	$6,309.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $4,265.80	Facility		$1,621.81	$1,621.81	$4,265.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $3,715.35 / $4,466.84	Professional		$1,621.81	$3,715.35	$4,466.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
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 $1,621.81 / $2,238.72 / $3,801.89	Professional		$1,621.81	$2,238.72	$3,801.89