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 $1,621.81 / $1,905.46 / $3,981.07	Professional		$1,621.81	$1,905.46	$3,981.07
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 $2,570.40 / $2,570.40 / $2,754.23	Professional		$2,570.40	$2,570.40	$2,754.23
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $3,630.78	Professional		$1,584.89	$2,238.72	$3,630.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,162.28	Professional		$1,819.70	$2,454.71	$3,162.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $3,311.31	Professional		$1,584.89	$2,137.96	$3,311.31
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 $1,698.24 / $2,398.83 / $5,495.41	Professional		$1,698.24	$2,398.83	$5,495.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,630.78	Facility		$2,570.40	$2,570.40	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,290.87 / $3,981.07	Professional		$2,187.76	$2,290.87	$3,981.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,630.27	Facility		$1,584.89	$1,584.89	$2,630.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,630.27	Professional		$1,584.89	$1,584.89	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $18,197.01	Facility		$2,344.23	$4,466.84	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $3,548.13	Professional		$1,548.82	$2,089.30	$3,548.13