Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,715.35 / $3,715.35	Facility		$954.99	$3,715.35	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,041.74	Professional		$954.99	$1,258.93	$2,041.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,905.46 / $2,344.23	Professional		$1,288.25	$1,905.46	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,344.23	Facility		$1,513.56	$1,513.56	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Professional		$1,096.48	$1,096.48	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,090.30 / $4,466.84	Professional		$2,137.96	$3,090.30	$4,466.84
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,621.81 / $2,344.23	Professional		$1,412.54	$1,621.81	$2,344.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $3,715.35	Facility		$954.99	$954.99	$3,715.35
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,754.23	Professional		$954.99	$1,288.25	$2,754.23
Oscar 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
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $3,090.30 / $4,466.84	Professional		$0.60	$3,090.30	$4,466.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,187.76	Facility		$1,659.59	$1,659.59	$2,187.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,238.72	Professional		$1,659.59	$1,659.59	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,090.30 / $3,715.35	Facility		$1,122.02	$3,090.30	$3,715.35
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $2,137.96	Professional		$954.99	$1,148.15	$2,137.96