Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,370.32 / $8,511.38	Facility		$1,412.54	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,951.21 / $5,888.44	Professional		$2,570.40	$2,951.21	$5,888.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $21,379.62 / $57,543.99	Facility		$8,511.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $4,365.16	Professional		$3,981.07	$3,981.07	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,388.44 / $5,623.41	Professional		$2,511.89	$3,388.44	$5,623.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,073.80 / $5,248.07	Professional		$3,019.95	$4,073.80	$5,248.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $5,495.41	Professional		$2,570.40	$3,388.44	$5,495.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,801.89 / $7,943.28	Professional		$2,570.40	$3,801.89	$7,943.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $5,754.40	Facility		$4,073.80	$4,073.80	$5,754.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,801.89 / $5,888.44	Professional		$3,548.13	$3,801.89	$5,888.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $3,311.31	Facility		$575.44	$575.44	$3,311.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $2,691.53 / $2,951.21	Professional		$575.44	$2,691.53	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,365.16 / $22,387.21	Facility		$2,089.30	$4,365.16	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $5,495.41	Professional		$2,454.71	$3,311.31	$5,495.41