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 / $1,949.84 / $4,265.80	Professional		$1,584.89	$1,949.84	$4,265.80
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 $2,511.89 / $2,754.23 / $2,754.23	Professional		$2,511.89	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $3,019.95	Facility		$501.19	$794.33	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,041.74 / $3,801.89	Professional		$1,348.96	$2,041.74	$3,801.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,388.44	Professional		$1,819.70	$2,454.71	$3,388.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $2,951.21	Professional		$1,513.56	$1,862.09	$2,951.21
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 / $2,344.23 / $5,370.32	Professional		$1,584.89	$2,344.23	$5,370.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,819.70 / $3,630.78	Facility		$1,584.89	$1,819.70	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $3,801.89	Professional		$1,584.89	$2,884.03	$3,801.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,737.80	Facility		$1,479.11	$1,479.11	$1,737.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,778.28 / $1,862.09	Professional		$1,479.11	$1,778.28	$1,862.09
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 / $1,949.84 / $3,235.94	Professional		$1,445.44	$1,949.84	$3,235.94