Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,981.07 / $8,317.64	Facility		$1,122.02	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,570.40	Professional		$1,023.29	$1,230.27	$2,570.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,951.21	Professional		$1,621.81	$2,041.74	$2,951.21
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 $1,023.29 / $1,380.38 / $2,398.83	Professional		$1,023.29	$1,380.38	$2,398.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,511.89	Professional		$1,479.11	$1,949.84	$2,511.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $2,137.96	Professional		$1,047.13	$1,513.56	$2,137.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,818.38 / $8,317.64	Facility		$954.99	$2,818.38	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,584.89 / $3,715.35	Professional		$1,071.52	$1,584.89	$3,715.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,454.71	Facility		$1,202.26	$1,202.26	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,819.70 / $2,570.40	Professional		$1,148.15	$1,819.70	$2,570.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,122.02	Facility		$416.87	$416.87	$1,122.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $1,122.02	Professional		$416.87	$691.83	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,000.00	Facility		$2,089.30	$3,981.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $2,238.72	Professional		$1,000.00	$1,318.26	$2,238.72