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 $1,000.00 / $1,174.90 / $2,454.71	Professional		$1,000.00	$1,174.90	$2,454.71
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 $1,122.02 / $1,202.26 / $2,089.30	Professional		$1,122.02	$1,202.26	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,238.72	Professional		$977.24	$1,348.96	$2,238.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,137.96	Professional		$1,230.27	$1,659.59	$2,137.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,187.76	Professional		$1,023.29	$1,348.96	$2,187.76
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 $1,047.13 / $1,479.11 / $3,090.30	Professional		$1,047.13	$1,479.11	$3,090.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,290.87	Facility		$1,479.11	$1,479.11	$2,290.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,548.82 / $2,398.83	Professional		$1,348.96	$1,548.82	$2,398.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,096.48 / $1,258.93	Facility		$588.84	$1,096.48	$1,258.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,096.48 / $1,258.93	Professional		$588.84	$1,096.48	$1,258.93
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 $954.99 / $1,288.25 / $2,137.96	Professional		$954.99	$1,288.25	$2,137.96