Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,370.32 / $8,511.38	Facility		$1,380.38	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,951.21	Professional		$1,202.26	$1,412.54	$2,951.21
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 $1,318.26 / $1,380.38 / $2,570.40	Professional		$1,318.26	$1,380.38	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,691.53	Professional		$1,174.90	$1,621.81	$2,691.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $2,511.89	Professional		$1,445.44	$1,949.84	$2,511.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,621.81 / $2,570.40	Professional		$1,230.27	$1,621.81	$2,570.40
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 $1,230.27 / $1,778.28 / $3,981.07	Professional		$1,230.27	$1,778.28	$3,981.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,754.23	Facility		$1,659.59	$1,659.59	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,819.70 / $2,754.23	Professional		$1,380.38	$1,819.70	$2,754.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,479.11	Facility		$1,318.26	$1,318.26	$1,479.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,318.26 / $1,479.11	Professional		$1,288.25	$1,318.26	$1,479.11
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 $1,122.02 / $1,584.89 / $2,570.40	Professional		$1,122.02	$1,584.89	$2,570.40