Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,235.94 / $3,235.94	Facility		$831.76	$3,235.94	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $2,041.74	Professional		$794.33	$1,096.48	$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 $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,905.46	Facility		$1,174.90	$1,174.90	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,174.90	Professional		$851.14	$851.14	$1,174.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $3,630.78	Professional		$1,737.80	$2,511.89	$3,630.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,348.96 / $1,905.46	Professional		$1,148.15	$1,348.96	$1,905.46
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $3,235.94	Facility		$831.76	$831.76	$3,235.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,041.74	Professional		$812.83	$1,148.15	$2,041.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $2,691.53 / $3,715.35	Professional		$0.60	$2,691.53	$3,715.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,778.28	Facility		$1,348.96	$1,348.96	$1,778.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,290.87	Professional		$1,348.96	$1,348.96	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,511.89 / $3,019.95	Facility		$851.14	$2,511.89	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,819.70	Professional		$851.14	$1,047.13	$1,819.70