Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,370.32 / $8,511.38	Facility		$1,412.54	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,370.32 / $14,125.38	Professional		$4,365.16	$5,370.32	$14,125.38
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 $6,918.31 / $7,585.78 / $7,585.78	Professional		$6,918.31	$7,585.78	$7,585.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $8,317.64	Facility		$489.78	$794.33	$8,317.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $5,623.41 / $10,471.29	Professional		$3,235.94	$5,623.41	$10,471.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,760.83 / $9,120.11	Professional		$4,897.79	$6,760.83	$9,120.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $8,128.31	Professional		$4,168.69	$5,011.87	$8,128.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,511.38	Facility		$1,023.29	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $6,165.95 / $14,125.38	Professional		$4,265.80	$6,165.95	$14,125.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,737.80 / $9,772.37	Facility		$1,698.24	$1,737.80	$9,772.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $7,943.28 / $10,232.93	Professional		$1,698.24	$7,943.28	$10,232.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,786.30	Facility		$4,265.80	$4,265.80	$4,786.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,570.88 / $4,897.79	Professional		$4,265.80	$4,570.88	$4,897.79
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 $3,890.45 / $5,370.32 / $8,912.51	Professional		$3,890.45	$5,370.32	$8,912.51