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 $1,412.54 / $1,659.59 / $3,467.37	Professional		$1,412.54	$1,659.59	$3,467.37
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 $2,187.76 / $2,344.23 / $2,344.23	Professional		$2,187.76	$2,344.23	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $2,630.27	Facility		$501.19	$794.33	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $3,311.31	Professional		$1,148.15	$1,819.70	$3,311.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,818.38	Professional		$1,479.11	$1,995.26	$2,818.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $2,570.40	Professional		$1,380.38	$1,621.81	$2,570.40
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 $1,412.54 / $1,995.26 / $4,677.35	Professional		$1,412.54	$1,995.26	$4,677.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $3,090.30	Facility		$1,479.11	$1,659.59	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $3,311.31	Professional		$1,479.11	$2,454.71	$3,311.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,513.56	Facility		$1,380.38	$1,380.38	$1,513.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,584.89	Professional		$1,380.38	$1,513.56	$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 $1,288.25 / $1,698.24 / $2,754.23	Professional		$1,288.25	$1,698.24	$2,754.23