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 $1,584.89 / $1,905.46 / $4,466.84	Professional		$1,584.89	$1,905.46	$4,466.84
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 $2,454.71 / $2,630.27 / $2,630.27	Professional		$2,454.71	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $2,951.21	Facility		$501.19	$794.33	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,041.74 / $3,715.35	Professional		$1,288.25	$2,041.74	$3,715.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $3,235.94	Professional		$1,778.28	$2,398.83	$3,235.94
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $2,884.03	Professional		$1,584.89	$1,819.70	$2,884.03
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 $1,584.89 / $2,238.72 / $5,128.61	Professional		$1,584.89	$2,238.72	$5,128.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,041.74 / $3,548.13	Facility		$1,995.26	$2,041.74	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $3,630.78	Professional		$1,995.26	$2,818.38	$3,630.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,698.24	Facility		$1,584.89	$1,584.89	$1,698.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $1,778.28	Professional		$1,584.89	$1,737.80	$1,778.28
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 $1,445.44 / $1,905.46 / $3,162.28	Professional		$1,445.44	$1,905.46	$3,162.28