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 $2,187.76 / $2,570.40 / $5,011.87	Professional		$2,187.76	$2,570.40	$5,011.87
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 $2,454.71 / $2,630.27 / $4,570.88	Professional		$2,454.71	$2,630.27	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $4,897.79	Professional		$2,187.76	$2,951.21	$4,897.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $4,365.16	Professional		$2,570.40	$3,388.44	$4,365.16
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $7,762.47	Professional		$2,187.76	$2,951.21	$7,762.47
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 $2,238.72 / $3,235.94 / $6,760.83	Professional		$2,238.72	$3,235.94	$6,760.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $5,011.87	Facility		$3,548.13	$3,548.13	$5,011.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,235.94 / $4,677.35	Professional		$2,884.03	$3,235.94	$4,677.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,630.27	Facility		$2,398.83	$2,398.83	$2,630.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $2,570.40	Professional		$2,344.23	$2,454.71	$2,570.40
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 $2,089.30 / $2,884.03 / $4,786.30	Professional		$2,089.30	$2,884.03	$4,786.30