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 $1,737.80 / $2,041.74 / $4,677.35	Professional		$1,737.80	$2,041.74	$4,677.35
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 / $2,884.03 / $2,884.03	Professional		$2,630.27	$2,884.03	$2,884.03
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 $1,412.54 / $2,187.76 / $4,073.80	Professional		$1,412.54	$2,187.76	$4,073.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,467.37	Professional		$1,819.70	$2,454.71	$3,467.37
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $3,162.28	Professional		$1,698.24	$1,995.26	$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 $1,737.80 / $2,454.71 / $5,623.41	Professional		$1,737.80	$2,454.71	$5,623.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,801.89	Facility		$1,819.70	$2,137.96	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $3,235.94 / $4,168.69	Professional		$1,819.70	$3,235.94	$4,168.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,819.70 / $1,819.70	Professional		$1,778.28	$1,819.70	$1,819.70
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 $1,584.89 / $2,089.30 / $3,467.37	Professional		$1,584.89	$2,089.30	$3,467.37