Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $3,630.78 / $3,630.78	Facility		$933.25	$3,630.78	$3,630.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $2,290.87	Professional		$912.01	$1,230.27	$2,290.87
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 $1,174.90 / $1,698.24 / $2,137.96	Professional		$1,174.90	$1,698.24	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,137.96	Facility		$1,621.81	$1,621.81	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,621.81	Professional		$1,174.90	$1,174.90	$1,621.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $4,073.80	Professional		$1,949.84	$2,818.38	$4,073.80
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,479.11 / $2,137.96	Professional		$1,288.25	$1,479.11	$2,137.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $3,630.78	Facility		$933.25	$933.25	$3,630.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $2,454.71	Professional		$912.01	$1,258.93	$2,454.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $2,818.38 / $4,073.80	Professional		$0.60	$2,818.38	$4,073.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,995.26	Facility		$1,000.00	$1,000.00	$1,995.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $2,041.74	Professional		$1,000.00	$1,000.00	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,818.38 / $3,388.44	Facility		$933.25	$2,818.38	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,041.74	Professional		$933.25	$1,174.90	$2,041.74