Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,011.87 / $8,511.38	Facility		$2,344.23	$5,011.87	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $1,949.84	Professional		$1,258.93	$1,584.89	$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 $1,513.56 / $1,513.56 / $3,090.30	Professional		$1,513.56	$1,513.56	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $6,606.93	Facility		$1,905.46	$3,090.30	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $4,265.80	Professional		$2,041.74	$2,630.27	$4,265.80
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 $1,479.11 / $2,238.72 / $3,715.35	Professional		$1,479.11	$2,238.72	$3,715.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,011.87 / $8,511.38	Facility		$2,187.76	$5,011.87	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,584.89 / $6,918.31	Professional		$1,258.93	$1,584.89	$6,918.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $2,137.96	Facility		$1,737.80	$2,137.96	$2,137.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,137.96	Professional		$1,737.80	$1,737.80	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,344.23	Facility		$1,949.84	$1,949.84	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $2,344.23	Professional		$741.31	$1,047.13	$2,344.23