Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,370.32 / $8,511.38	Facility		$1,047.13	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $4,897.79	Professional		$1,698.24	$2,041.74	$4,897.79
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 $2,630.27 / $2,818.38 / $2,818.38	Professional		$2,630.27	$2,818.38	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $3,162.28	Facility		$501.19	$794.33	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,187.76 / $4,168.69	Professional		$1,380.38	$2,187.76	$4,168.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,467.37	Professional		$1,778.28	$2,398.83	$3,467.37
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $3,162.28	Professional		$1,698.24	$1,949.84	$3,162.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $5,623.41	Professional		$1,698.24	$2,511.89	$5,623.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,715.35	Facility		$1,819.70	$2,137.96	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,162.28 / $4,265.80	Professional		$1,819.70	$3,162.28	$4,265.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,819.70	Facility		$1,778.28	$1,778.28	$1,819.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,819.70 / $1,905.46	Professional		$1,778.28	$1,819.70	$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 $1,548.82 / $2,041.74 / $3,311.31	Professional		$1,548.82	$2,041.74	$3,311.31