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 $1,148.15 / $1,380.38 / $3,090.30	Professional		$1,148.15	$1,380.38	$3,090.30
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 $1,778.28 / $1,949.84 / $1,949.84	Professional		$1,778.28	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $2,137.96	Facility		$501.19	$794.33	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $2,691.53	Professional		$954.99	$1,445.44	$2,691.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,454.71	Professional		$1,318.26	$1,778.28	$2,454.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,318.26 / $2,137.96	Professional		$1,096.48	$1,318.26	$2,137.96
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 $1,148.15 / $1,659.59 / $3,801.89	Professional		$1,148.15	$1,659.59	$3,801.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $2,570.40	Facility		$1,174.90	$1,445.44	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,089.30 / $2,691.53	Professional		$1,174.90	$2,089.30	$2,691.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,348.96 / $1,348.96	Facility		$1,230.27	$1,348.96	$1,348.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $1,348.96	Professional		$1,202.26	$1,258.93	$1,348.96
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 $1,023.29 / $1,380.38 / $2,290.87	Professional		$1,023.29	$1,380.38	$2,290.87