Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $7,244.36 / $11,220.18	Facility		$1,445.44	$7,244.36	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $2,818.38	Professional		$1,148.15	$1,318.26	$2,818.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,348.96 / $2,344.23	Professional		$1,288.25	$1,348.96	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,513.56 / $2,570.40	Professional		$1,096.48	$1,513.56	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,454.71	Professional		$1,412.54	$1,905.46	$2,454.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,454.71	Professional		$1,148.15	$1,513.56	$2,454.71
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,495.41 / $10,964.78	Facility		$1,288.25	$5,495.41	$10,964.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,698.24 / $3,801.89	Professional		$1,174.90	$1,698.24	$3,801.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,630.27	Facility		$1,548.82	$1,548.82	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,754.23	Professional		$1,513.56	$1,778.28	$2,754.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,318.26	Facility		$933.25	$933.25	$1,318.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $1,318.26	Professional		$933.25	$933.25	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $39,810.72	Facility		$2,454.71	$5,495.41	$39,810.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,454.71	Professional		$1,071.52	$1,445.44	$2,454.71