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 $3,715.35 / $4,466.84 / $8,511.38	Professional		$3,715.35	$4,466.84	$8,511.38
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 $6,025.60 / $6,456.54 / $6,456.54	Professional		$6,025.60	$6,456.54	$6,456.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $7,244.36	Facility		$501.19	$794.33	$7,244.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,677.35 / $8,511.38	Professional		$2,951.21	$4,677.35	$8,511.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,888.44 / $7,943.28	Professional		$4,265.80	$5,888.44	$7,943.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $6,918.31	Professional		$3,548.13	$4,265.80	$6,918.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,466.84 / $8,317.64	Facility		$1,023.29	$4,466.84	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,248.07 / $11,748.98	Professional		$3,715.35	$5,248.07	$11,748.98
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,311.31 / $8,511.38	Facility		$2,884.03	$3,311.31	$8,511.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $6,918.31 / $8,128.31	Professional		$2,884.03	$6,918.31	$8,128.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,168.69	Facility		$3,467.37	$3,467.37	$4,168.69
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,168.69 / $4,365.16	Professional		$3,467.37	$4,168.69	$4,365.16
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 $3,311.31 / $4,466.84 / $7,413.10	Professional		$3,311.31	$4,466.84	$7,413.10