Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $3,235.94 / $3,235.94	Facility		$851.14	$3,235.94	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,949.84	Professional		$776.25	$1,000.00	$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 $1,047.13 / $1,548.82 / $1,949.84	Professional		$1,047.13	$1,548.82	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,137.96	Facility		$1,513.56	$1,513.56	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,513.56	Professional		$1,096.48	$1,096.48	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $4,073.80	Professional		$1,995.26	$2,818.38	$4,073.80
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 $1,148.15 / $1,348.96 / $1,949.84	Professional		$1,148.15	$1,348.96	$1,949.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $3,235.94	Facility		$851.14	$851.14	$3,235.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,047.13 / $2,290.87	Professional		$831.76	$1,047.13	$2,290.87
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 / $2,884.03 / $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 / $1,819.70 / $2,187.76	Professional		$912.01	$1,819.70	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,398.83 / $2,884.03	Facility		$794.33	$2,398.83	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,698.24	Professional		$851.14	$1,047.13	$1,698.24