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 $1,905.46 / $2,290.87 / $5,248.07	Professional		$1,905.46	$2,290.87	$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 $3,019.95 / $3,311.31 / $3,311.31	Professional		$3,019.95	$3,311.31	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $3,630.78	Facility		$501.19	$794.33	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,398.83 / $4,570.88	Professional		$1,479.11	$2,398.83	$4,570.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $4,073.80	Professional		$2,187.76	$2,951.21	$4,073.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,548.13	Professional		$1,862.09	$2,187.76	$3,548.13
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 $1,905.46 / $2,754.23 / $6,165.95	Professional		$1,905.46	$2,754.23	$6,165.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $4,365.16	Facility		$1,445.44	$1,621.81	$4,365.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $3,801.89 / $4,570.88	Professional		$1,445.44	$3,801.89	$4,570.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,089.30	Facility		$1,949.84	$1,949.84	$2,089.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $2,187.76	Professional		$1,949.84	$2,089.30	$2,187.76
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 $1,737.80 / $2,344.23 / $3,890.45	Professional		$1,737.80	$2,344.23	$3,890.45