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 $2,511.89 / $3,090.30 / $7,413.10	Professional		$2,511.89	$3,090.30	$7,413.10
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 $4,073.80 / $4,365.16 / $4,365.16	Professional		$4,073.80	$4,365.16	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $4,897.79	Facility		$501.19	$794.33	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,235.94 / $6,025.60	Professional		$2,137.96	$3,235.94	$6,025.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Facility		$6,025.60	$6,025.60	$6,025.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $5,370.32	Professional		$2,884.03	$3,890.45	$5,370.32
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $4,677.35	Professional		$2,398.83	$2,884.03	$4,677.35
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 $2,511.89 / $3,715.35 / $7,943.28	Professional		$2,511.89	$3,715.35	$7,943.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $5,754.40	Facility		$2,630.27	$3,090.30	$5,754.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $6,025.60	Professional		$2,630.27	$4,570.88	$6,025.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,754.23 / $2,754.23	Facility		$2,238.72	$2,754.23	$2,754.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,818.38 / $2,951.21	Professional		$2,691.53	$2,818.38	$2,951.21
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 $2,290.87 / $3,090.30 / $5,128.61	Professional		$2,290.87	$3,090.30	$5,128.61