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 $1,949.84 / $2,290.87 / $4,897.79	Professional		$1,949.84	$2,290.87	$4,897.79
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 $2,344.23 / $2,398.83 / $3,981.07	Professional		$2,344.23	$2,398.83	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,511.89 / $4,570.88	Professional		$1,949.84	$2,511.89	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $4,677.35	Professional		$2,754.23	$3,630.78	$4,677.35
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $3,801.89	Professional		$1,819.70	$2,884.03	$3,801.89
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 $2,089.30 / $3,019.95 / $6,606.93	Professional		$2,089.30	$3,019.95	$6,606.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $4,570.88	Professional		$1,905.46	$2,454.71	$4,570.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,290.87	Facility		$1,513.56	$1,513.56	$2,290.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,398.83	Professional		$1,513.56	$2,137.96	$2,398.83
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 $1,819.70 / $2,570.40 / $4,365.16	Professional		$1,819.70	$2,570.40	$4,365.16