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 / $8,511.38	Facility		$1,047.13	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,137.96 / $4,466.84	Professional		$1,862.09	$2,137.96	$4,466.84
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 $2,884.03 / $3,162.28 / $3,548.13	Professional		$2,884.03	$3,162.28	$3,548.13
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $4,168.69	Professional		$1,949.84	$2,630.27	$4,168.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $3,801.89	Professional		$2,187.76	$2,884.03	$3,801.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $4,365.16	Professional		$1,862.09	$2,691.53	$4,365.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $8,317.64	Facility		$1,023.29	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $6,165.95	Professional		$1,905.46	$2,754.23	$6,165.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,168.69	Facility		$3,467.37	$3,467.37	$4,168.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,467.37 / $4,265.80	Professional		$3,235.94	$3,467.37	$4,265.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,951.21 / $2,951.21	Facility		$1,995.26	$2,951.21	$2,951.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,041.74 / $2,951.21	Professional		$1,949.84	$2,041.74	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,570.88 / $7,079.46	Facility		$2,290.87	$4,570.88	$7,079.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,511.89 / $3,981.07	Professional		$1,778.28	$2,511.89	$3,981.07