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 $1,202.26 / $1,412.54 / $3,019.95	Professional		$1,202.26	$1,412.54	$3,019.95
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 $1,862.09 / $1,995.26 / $1,995.26	Professional		$1,862.09	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $2,238.72	Facility		$501.19	$794.33	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,513.56 / $2,754.23	Professional		$977.24	$1,513.56	$2,754.23
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 $1,348.96 / $1,819.70 / $2,511.89	Professional		$1,348.96	$1,819.70	$2,511.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $2,187.76	Professional		$1,148.15	$1,348.96	$2,187.76
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 $1,202.26 / $1,698.24 / $3,890.45	Professional		$1,202.26	$1,698.24	$3,890.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,630.27	Facility		$1,513.56	$1,513.56	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,137.96 / $2,754.23	Professional		$1,288.25	$2,137.96	$2,754.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,288.25	Facility		$1,230.27	$1,230.27	$1,288.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,348.96	Professional		$1,230.27	$1,288.25	$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 $1,071.52 / $1,412.54 / $2,344.23	Professional		$1,071.52	$1,412.54	$2,344.23