Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $3,311.31 / $3,311.31	Facility		$870.96	$3,311.31	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,071.52 / $1,949.84	Professional		$812.83	$1,071.52	$1,949.84
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 $1,071.52 / $1,584.89 / $1,949.84	Professional		$1,071.52	$1,584.89	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $2,187.76	Facility		$1,122.02	$1,122.02	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,148.15	Professional		$831.76	$831.76	$1,148.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $4,168.69	Professional		$1,995.26	$2,818.38	$4,168.69
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,380.38 / $1,949.84	Professional		$1,174.90	$1,380.38	$1,949.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $3,311.31	Facility		$870.96	$870.96	$3,311.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $2,137.96	Professional		$851.14	$1,122.02	$2,137.96
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 / $2,884.03 / $4,168.69	Professional		$0.60	$2,884.03	$4,168.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,819.70	Facility		$912.01	$912.01	$1,819.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $2,041.74	Professional		$912.01	$912.01	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,454.71 / $2,951.21	Facility		$812.83	$2,454.71	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,071.52 / $1,737.80	Professional		$870.96	$1,071.52	$1,737.80