Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,786.30 / $8,317.64	Facility		$1,202.26	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $3,162.28	Professional		$1,148.15	$1,380.38	$3,162.28
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 $1,122.02 / $1,318.26 / $2,187.76	Professional		$1,122.02	$1,318.26	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $2,187.76	Facility		$489.78	$794.33	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,479.11 / $2,691.53	Professional		$1,000.00	$1,479.11	$2,691.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,454.71	Professional		$1,318.26	$1,778.28	$2,454.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,187.76	Professional		$1,148.15	$1,318.26	$2,187.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $8,317.64	Facility		$1,023.29	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $3,801.89	Professional		$1,148.15	$1,659.59	$3,801.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $2,570.40	Facility		$1,288.25	$1,288.25	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $2,691.53	Professional		$1,288.25	$2,290.87	$2,691.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,258.93	Facility		$912.01	$1,096.48	$1,258.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,174.90 / $3,162.28	Professional		$912.01	$1,174.90	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,630.78 / $6,025.60	Facility		$1,288.25	$3,630.78	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $2,290.87	Professional		$1,071.52	$1,380.38	$2,290.87