Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,388.44 / $3,388.44	Facility		$870.96	$3,388.44	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,905.46	Professional		$870.96	$1,096.48	$1,905.46
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 $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,187.76	Facility		$1,202.26	$1,202.26	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,288.25	Professional		$891.25	$891.25	$1,288.25
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 $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,187.76	Professional		$1,288.25	$1,513.56	$2,187.76
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $3,388.44	Facility		$870.96	$870.96	$3,388.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $2,041.74	Professional		$870.96	$1,122.02	$2,041.74
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 / $3,019.95 / $4,168.69	Professional		$0.60	$3,019.95	$4,168.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,041.74	Facility		$1,513.56	$1,513.56	$2,041.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,041.74	Professional		$1,513.56	$1,513.56	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,630.27 / $3,162.28	Facility		$954.99	$2,630.27	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,047.13 / $1,905.46	Professional		$812.83	$1,047.13	$1,905.46