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 $4,168.69 / $5,011.87 / $12,022.64	Professional		$4,168.69	$5,011.87	$12,022.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
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 $4,168.69 / $4,897.79 / $7,943.28	Professional		$4,168.69	$4,897.79	$7,943.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $7,943.28	Facility		$501.19	$794.33	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,248.07 / $10,000.00	Professional		$3,630.78	$5,248.07	$10,000.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,456.54 / $8,912.51	Professional		$4,786.30	$6,456.54	$8,912.51
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,897.79 / $7,943.28	Professional		$4,168.69	$4,897.79	$7,943.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,317.64	Facility		$1,023.29	$4,786.30	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $6,025.60 / $13,803.84	Professional		$4,168.69	$6,025.60	$13,803.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $9,332.54	Facility		$4,365.16	$4,365.16	$9,332.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $8,317.64 / $10,000.00	Professional		$4,365.16	$8,317.64	$10,000.00
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,570.88	Facility		$4,265.80	$4,265.80	$4,570.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,677.35 / $4,786.30	Professional		$4,265.80	$4,677.35	$4,786.30
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 $3,801.89 / $5,128.61 / $8,511.38	Professional		$3,801.89	$5,128.61	$8,511.38