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 $933.25 / $1,071.52 / $1,862.09	Professional		$933.25	$1,071.52	$1,862.09
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 $1,202.26 / $1,737.80 / $2,187.76	Professional		$1,202.26	$1,737.80	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,187.76	Facility		$1,230.27	$1,230.27	$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 / $2,884.03 / $4,168.69	Professional		$1,995.26	$2,884.03	$4,168.69
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 $1,318.26 / $1,513.56 / $2,187.76	Professional		$1,318.26	$1,513.56	$2,187.76
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 $933.25 / $1,096.48 / $1,949.84	Professional		$933.25	$1,096.48	$1,949.84
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 / $2,089.30	Professional		$1,513.56	$1,513.56	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,691.53 / $3,162.28	Facility		$891.25	$2,691.53	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,148.15 / $1,949.84	Professional		$954.99	$1,148.15	$1,949.84