Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $7,244.36 / $11,220.18	Facility		$1,479.11	$7,244.36	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $3,388.44	Professional		$1,230.27	$1,479.11	$3,388.44
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 $1,949.84 / $2,089.30 / $2,089.30	Professional		$1,949.84	$2,089.30	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $2,344.23	Facility		$501.19	$794.33	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,884.03	Professional		$1,047.13	$1,584.89	$2,884.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,630.27	Professional		$1,412.54	$1,905.46	$2,630.27
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,290.87	Professional		$1,202.26	$1,412.54	$2,290.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,754.40 / $11,220.18	Facility		$1,288.25	$5,754.40	$11,220.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,778.28 / $4,265.80	Professional		$1,230.27	$1,778.28	$4,265.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $2,754.23	Facility		$1,258.93	$1,445.44	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,398.83 / $2,884.03	Professional		$1,258.93	$2,398.83	$2,884.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $3,548.13	Facility		$1,174.90	$1,348.96	$3,548.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,412.54 / $3,548.13	Professional		$1,288.25	$1,412.54	$3,548.13
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 $1,122.02 / $1,479.11 / $2,454.71	Professional		$1,122.02	$1,479.11	$2,454.71