Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $8,511.38	Facility		$1,288.25	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $3,090.30	Professional		$1,047.13	$1,258.93	$3,090.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,819.70	Professional		$1,659.59	$1,659.59	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,344.23	Professional		$1,047.13	$1,380.38	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,290.87	Professional		$1,348.96	$1,819.70	$2,290.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,344.23	Professional		$1,122.02	$1,479.11	$2,344.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,511.38	Facility		$1,047.13	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $3,548.13	Professional		$1,096.48	$1,584.89	$3,548.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,454.71	Facility		$1,479.11	$1,479.11	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,698.24 / $2,398.83	Professional		$1,380.38	$1,698.24	$2,398.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,202.26	Facility		$588.84	$588.84	$1,202.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,148.15 / $1,905.46	Professional		$588.84	$1,148.15	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,000.00	Facility		$2,089.30	$3,981.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,187.76	Professional		$1,000.00	$1,348.96	$2,187.76