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 $1,096.48 / $1,288.25 / $2,951.21	Professional		$1,096.48	$1,288.25	$2,951.21
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 $1,659.59 / $1,819.70 / $2,089.30	Professional		$1,659.59	$1,819.70	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $2,041.74	Facility		$501.19	$794.33	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $2,511.89	Professional		$912.01	$1,380.38	$2,511.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,698.24 / $2,290.87	Professional		$1,230.27	$1,698.24	$2,290.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,041.74	Professional		$1,023.29	$1,258.93	$2,041.74
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 $1,096.48 / $1,548.82 / $3,548.13	Professional		$1,096.48	$1,548.82	$3,548.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,454.71	Facility		$1,096.48	$1,288.25	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $2,511.89	Professional		$1,096.48	$1,995.26	$2,511.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,174.90 / $1,174.90	Facility		$977.24	$1,174.90	$1,174.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,202.26 / $1,230.27	Professional		$1,122.02	$1,202.26	$1,230.27
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 $977.24 / $1,288.25 / $2,137.96	Professional		$977.24	$1,288.25	$2,137.96