Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,754.40 / $8,511.38	Facility		$1,047.13	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,445.44 / $2,691.53	Professional		$1,258.93	$1,445.44	$2,691.53
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 $1,949.84 / $1,949.84 / $2,137.96	Professional		$1,949.84	$1,949.84	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,754.23	Professional		$1,202.26	$1,659.59	$2,754.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,570.40	Professional		$1,479.11	$1,995.26	$2,570.40
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,691.53	Professional		$1,258.93	$1,659.59	$2,691.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $8,317.64	Facility		$1,023.29	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $4,073.80	Professional		$1,288.25	$1,819.70	$4,073.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,818.38	Facility		$1,778.28	$1,778.28	$2,818.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,862.09 / $2,951.21	Professional		$1,621.81	$1,862.09	$2,951.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,412.54	Facility		$1,348.96	$1,348.96	$1,412.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,348.96 / $1,445.44	Professional		$1,318.26	$1,348.96	$1,445.44
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 $1,202.26 / $1,584.89 / $2,630.27	Professional		$1,202.26	$1,584.89	$2,630.27