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 $1,778.28 / $2,137.96 / $4,168.69	Professional		$1,778.28	$2,137.96	$4,168.69
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 $2,089.30 / $2,137.96 / $3,890.45	Professional		$2,089.30	$2,137.96	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $4,073.80	Professional		$1,778.28	$2,398.83	$4,073.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $4,168.69	Professional		$2,454.71	$3,235.94	$4,168.69
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,754.23 / $6,606.93	Professional		$2,041.74	$2,754.23	$6,606.93
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 $1,862.09 / $2,754.23 / $6,606.93	Professional		$1,862.09	$2,754.23	$6,606.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $4,168.69	Facility		$1,995.26	$1,995.26	$4,168.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,019.95 / $4,265.80	Professional		$1,995.26	$3,019.95	$4,265.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,041.74 / $2,041.74	Facility		$1,862.09	$2,041.74	$2,041.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,089.30 / $2,137.96	Professional		$1,949.84	$2,089.30	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $22,387.21	Facility		$2,454.71	$5,495.41	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,890.45	Professional		$1,737.80	$2,344.23	$3,890.45