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 $1,122.02 / $1,380.38 / $2,951.21	Professional		$1,122.02	$1,380.38	$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 $1,819.70 / $1,949.84 / $1,949.84	Professional		$1,819.70	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $2,187.76	Facility		$501.19	$794.33	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,570.40	Professional		$933.25	$1,412.54	$2,570.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $2,454.71	Professional		$1,318.26	$1,819.70	$2,454.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $2,089.30	Professional		$1,071.52	$1,318.26	$2,089.30
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 $1,148.15 / $1,659.59 / $3,801.89	Professional		$1,148.15	$1,659.59	$3,801.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,202.26 / $2,570.40	Facility		$1,047.13	$1,202.26	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,089.30 / $2,511.89	Professional		$1,047.13	$2,089.30	$2,511.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,258.93	Facility		$912.01	$912.01	$1,258.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,630.27	Professional		$912.01	$1,258.93	$2,630.27
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 $1,023.29 / $1,348.96 / $2,238.72	Professional		$1,023.29	$1,348.96	$2,238.72