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 $2,041.74 / $2,511.89 / $5,495.41	Professional		$2,041.74	$2,511.89	$5,495.41
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 $3,235.94 / $3,548.13 / $3,548.13	Professional		$3,235.94	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $3,890.45	Facility		$501.19	$794.33	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,630.27 / $4,897.79	Professional		$1,584.89	$2,630.27	$4,897.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $4,365.16	Professional		$2,344.23	$3,162.28	$4,365.16
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $3,801.89	Professional		$1,995.26	$2,344.23	$3,801.89
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 $2,041.74 / $2,951.21 / $6,606.93	Professional		$2,041.74	$2,951.21	$6,606.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $4,677.35	Facility		$1,318.26	$1,318.26	$4,677.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,981.07 / $4,897.79	Professional		$1,318.26	$3,981.07	$4,897.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,238.72	Facility		$2,089.30	$2,089.30	$2,238.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,238.72 / $2,344.23	Professional		$478.63	$2,238.72	$2,344.23
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 $1,862.09 / $2,511.89 / $4,168.69	Professional		$1,862.09	$2,511.89	$4,168.69