Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $3,019.95 / $3,019.95	Facility		$794.33	$3,019.95	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $870.96 / $1,513.56	Professional		$660.69	$870.96	$1,513.56
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 $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,659.59	Facility		$1,258.93	$1,258.93	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,258.93	Professional		$912.01	$912.01	$1,258.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $3,162.28	Professional		$1,548.82	$2,187.76	$3,162.28
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,819.70	Professional		$1,071.52	$1,174.90	$1,819.70
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $3,019.95	Facility		$794.33	$794.33	$3,019.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,778.28	Professional		$660.69	$912.01	$1,778.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $2,344.23 / $3,235.94	Professional		$0.60	$2,344.23	$3,235.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,698.24	Facility		$1,258.93	$1,258.93	$1,698.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,698.24	Professional		$1,258.93	$1,258.93	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $2,089.30 / $2,511.89	Facility		$691.83	$2,089.30	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $954.99 / $1,584.89	Professional		$776.25	$954.99	$1,584.89