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 $1,621.81 / $1,949.84 / $4,168.69	Professional		$1,621.81	$1,949.84	$4,168.69
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 $2,570.40 / $2,754.23 / $2,754.23	Professional		$2,570.40	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $3,090.30	Facility		$501.19	$794.33	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,801.89	Professional		$1,380.38	$2,089.30	$3,801.89
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 $1,862.09 / $2,511.89 / $3,467.37	Professional		$1,862.09	$2,511.89	$3,467.37
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,862.09 / $3,019.95	Professional		$1,548.82	$1,862.09	$3,019.95
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 $1,621.81 / $2,344.23 / $5,370.32	Professional		$1,621.81	$2,344.23	$5,370.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $3,630.78	Facility		$1,659.59	$1,949.84	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,162.28 / $3,801.89	Professional		$1,659.59	$3,162.28	$3,801.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
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 $1,479.11 / $1,949.84 / $3,235.94	Professional		$1,479.11	$1,949.84	$3,235.94