Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,754.40 / $8,709.64	Facility		$1,047.13	$5,754.40	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $5,495.41	Professional		$2,454.71	$2,818.38	$5,495.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $4,677.35	Professional		$2,754.23	$3,019.95	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,090.30 / $5,370.32	Professional		$2,238.72	$3,090.30	$5,370.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $5,011.87	Professional		$2,884.03	$3,890.45	$5,011.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $4,897.79	Professional		$2,454.71	$3,235.94	$4,897.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,511.38	Facility		$1,023.29	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,548.13 / $7,413.10	Professional		$2,454.71	$3,548.13	$7,413.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,495.41	Facility		$3,801.89	$3,801.89	$5,495.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,630.78 / $5,128.61	Professional		$3,467.37	$3,630.78	$5,128.61
UPMC Health Plan 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
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $2,754.23	Professional		$2,570.40	$2,691.53	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,709.64 / $53,703.18	Facility		$3,311.31	$8,709.64	$53,703.18
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $5,248.07	Professional		$2,290.87	$3,019.95	$5,248.07