Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,786.30 / $8,317.64	Facility		$1,202.26	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $2,818.38	Professional		$1,318.26	$1,513.56	$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 $1,479.11 / $1,513.56 / $2,754.23	Professional		$1,479.11	$1,513.56	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $2,884.03	Professional		$912.01	$1,621.81	$2,884.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,754.23	Professional		$1,584.89	$2,137.96	$2,754.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $2,238.72	Professional		$1,096.48	$1,698.24	$2,238.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $8,317.64	Facility		$1,023.29	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $4,168.69	Professional		$1,348.96	$1,905.46	$4,168.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,951.21	Facility		$1,230.27	$1,230.27	$2,951.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,288.25 / $3,019.95	Professional		$1,202.26	$1,288.25	$3,019.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,548.82	Facility		$467.74	$467.74	$1,548.82
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,380.38 / $1,513.56	Professional		$467.74	$1,380.38	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $22,387.21	Facility		$2,089.30	$3,981.07	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,818.38	Professional		$1,047.13	$1,584.89	$2,818.38