Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,235.94 / $3,235.94	Facility		$851.14	$3,235.94	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,445.44	Professional		$724.44	$912.01	$1,445.44
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 $1,148.15 / $1,659.59 / $2,089.30	Professional		$1,148.15	$1,659.59	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,137.96	Facility		$1,000.00	$1,000.00	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,047.13	Professional		$741.31	$741.31	$1,047.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $4,073.80	Professional		$1,995.26	$2,818.38	$4,073.80
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $2,089.30	Professional		$1,258.93	$1,479.11	$2,089.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $3,235.94	Facility		$851.14	$851.14	$3,235.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $933.25 / $1,513.56	Professional		$741.31	$933.25	$1,513.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $2,884.03 / $4,168.69	Professional		$0.60	$2,884.03	$4,168.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,187.76 / $2,630.27	Facility		$794.33	$2,187.76	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,862.09	Professional		$676.08	$1,023.29	$1,862.09