Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,165.95 / $9,549.93	Facility		$1,412.54	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,479.11 / $3,630.78	Professional		$1,258.93	$1,479.11	$3,630.78
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 $1,995.26 / $1,995.26 / $2,137.96	Professional		$1,995.26	$1,995.26	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $2,818.38	Professional		$1,202.26	$1,737.80	$2,818.38
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 / $1,659.59 / $2,630.27	Professional		$1,230.27	$1,659.59	$2,630.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,248.07 / $9,549.93	Facility		$1,122.02	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $4,168.69	Professional		$1,288.25	$1,862.09	$4,168.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,818.38	Facility		$1,621.81	$1,621.81	$2,818.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $3,311.31	Professional		$1,479.11	$1,819.70	$3,311.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,380.38 / $1,445.44	Professional		$1,318.26	$1,380.38	$1,445.44
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 $1,174.90 / $1,621.81 / $2,691.53	Professional		$1,174.90	$1,621.81	$2,691.53