Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $8,128.31 / $12,302.69	Facility		$3,090.30	$8,128.31	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $2,818.38	Professional		$1,513.56	$2,089.30	$2,818.38
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 $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,786.30 / $10,232.93	Facility		$2,951.21	$4,786.30	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Professional		$14,454.40	$14,454.40	$14,454.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $6,456.54	Professional		$3,162.28	$4,073.80	$6,456.54
Geisinger 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
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,570.88 / $7,585.78	Professional		$2,884.03	$4,570.88	$7,585.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $8,128.31 / $12,302.69	Facility		$4,073.80	$8,128.31	$12,302.69
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,454.71 / $12,302.69	Professional		$1,513.56	$2,454.71	$12,302.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,311.31 / $3,311.31	Facility		$3,019.95	$3,311.31	$3,311.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,311.31	Professional		$3,019.95	$3,019.95	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,630.78	Facility		$3,019.95	$3,019.95	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,715.35	Professional		$1,258.93	$1,819.70	$3,715.35