Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,606.93 / $9,772.37	Facility		$1,584.89	$6,606.93	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $3,981.07	Professional		$1,659.59	$1,905.46	$3,981.07
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 $1,819.70 / $1,949.84 / $3,467.37	Professional		$1,819.70	$1,949.84	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $3,715.35	Professional		$1,584.89	$2,187.76	$3,715.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $3,630.78	Professional		$2,089.30	$2,818.38	$3,630.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,715.35	Professional		$1,737.80	$2,290.87	$3,715.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $9,772.37	Facility		$1,122.02	$5,370.32	$9,772.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,454.71 / $5,623.41	Professional		$1,659.59	$2,454.71	$5,623.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,715.35	Facility		$2,398.83	$2,398.83	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,630.27 / $3,715.35	Professional		$2,137.96	$2,630.27	$3,715.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $1,862.09	Facility		$1,778.28	$1,862.09	$1,862.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,819.70 / $1,862.09	Professional		$1,698.24	$1,819.70	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,128.31 / $53,703.18	Facility		$3,311.31	$8,128.31	$53,703.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $3,467.37	Professional		$1,584.89	$2,137.96	$3,467.37