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 $1,071.52 / $1,258.93 / $2,754.23	Professional		$1,071.52	$1,258.93	$2,754.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $21,379.62 / $57,543.99	Facility		$8,511.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,778.28 / $1,778.28	Professional		$1,659.59	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $1,995.26	Facility		$501.19	$794.33	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,318.26 / $2,454.71	Professional		$794.33	$1,318.26	$2,454.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,238.72	Professional		$1,202.26	$1,659.59	$2,238.72
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,949.84	Professional		$954.99	$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 $1,071.52 / $1,513.56 / $3,467.37	Professional		$1,071.52	$1,513.56	$3,467.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $851.14 / $2,344.23	Facility		$741.31	$851.14	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $2,041.74 / $2,454.71	Professional		$741.31	$2,041.74	$2,454.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,148.15 / $1,174.90	Facility		$1,047.13	$1,148.15	$1,174.90
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $1,202.26	Professional		$1,096.48	$1,174.90	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,122.02 / $3,890.45	Facility		$549.54	$1,122.02	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,089.30	Professional		$912.01	$1,258.93	$2,089.30