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 $3,162.28 / $3,801.89 / $7,413.10	Professional		$3,162.28	$3,801.89	$7,413.10
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 $5,011.87 / $5,370.32 / $5,370.32	Professional		$5,011.87	$5,370.32	$5,370.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $6,025.60	Facility		$501.19	$794.33	$6,025.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,981.07 / $7,244.36	Professional		$2,398.83	$3,981.07	$7,244.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,897.79 / $6,760.83	Professional		$3,630.78	$4,897.79	$6,760.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,630.78 / $5,888.44	Professional		$3,019.95	$3,630.78	$5,888.44
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 $3,162.28 / $4,570.88 / $10,000.00	Professional		$3,162.28	$4,570.88	$10,000.00
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,691.53 / $7,079.46	Facility		$2,290.87	$2,691.53	$7,079.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $6,025.60 / $7,079.46	Professional		$2,290.87	$6,025.60	$7,079.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,548.13 / $3,630.78	Professional		$3,311.31	$3,548.13	$3,630.78
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 $2,818.38 / $3,801.89 / $6,309.57	Professional		$2,818.38	$3,801.89	$6,309.57