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 $1,023.29 / $1,230.27 / $2,951.21	Professional		$1,023.29	$1,230.27	$2,951.21
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 $1,584.89 / $1,737.80 / $1,995.26	Professional		$1,584.89	$1,737.80	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $1,995.26	Facility		$489.78	$794.33	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,288.25 / $2,344.23	Professional		$831.76	$1,288.25	$2,344.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,290.87	Professional		$1,230.27	$1,659.59	$2,290.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,202.26 / $1,949.84	Professional		$977.24	$1,202.26	$1,949.84
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 $1,047.13 / $1,479.11 / $3,311.31	Professional		$1,047.13	$1,479.11	$3,311.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,023.29 / $2,290.87	Facility		$891.25	$1,023.29	$2,290.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,995.26 / $2,398.83	Professional		$891.25	$1,995.26	$2,398.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,096.48	Facility		$870.96	$1,096.48	$1,096.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $1,659.59	Professional		$691.83	$1,122.02	$1,659.59
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 $891.25 / $1,202.26 / $1,995.26	Professional		$891.25	$1,202.26	$1,995.26