Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,370.32 / $8,511.38	Facility		$1,047.13	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $2,630.27	Professional		$1,096.48	$1,288.25	$2,630.27
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 $1,230.27 / $1,288.25 / $2,290.87	Professional		$1,230.27	$1,288.25	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,454.71	Professional		$1,071.52	$1,445.44	$2,454.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,290.87	Professional		$1,318.26	$1,778.28	$2,290.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,445.44 / $2,398.83	Professional		$1,122.02	$1,445.44	$2,398.83
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 $1,148.15 / $1,621.81 / $3,630.78	Professional		$1,148.15	$1,621.81	$3,630.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $2,511.89	Facility		$1,659.59	$1,659.59	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $2,630.27	Professional		$1,412.54	$1,659.59	$2,630.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,202.26 / $1,513.56	Facility		$467.74	$1,202.26	$1,513.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $1,202.26 / $1,513.56	Professional		$199.53	$1,202.26	$1,513.56
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 $1,047.13 / $1,380.38 / $2,344.23	Professional		$1,047.13	$1,380.38	$2,344.23