Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,890.45 / $8,317.64	Facility		$1,258.93	$3,890.45	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,698.24 / $3,235.94	Professional		$1,479.11	$1,698.24	$3,235.94
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 $1,621.81 / $1,698.24 / $2,951.21	Professional		$1,621.81	$1,698.24	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,235.94	Professional		$1,445.44	$1,949.84	$3,235.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,162.28	Professional		$1,819.70	$2,454.71	$3,162.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $3,235.94	Professional		$1,479.11	$1,995.26	$3,235.94
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,691.53 / $8,317.64	Facility		$954.99	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $4,786.30	Professional		$1,513.56	$2,187.76	$4,786.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $3,467.37	Facility		$2,089.30	$2,089.30	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,290.87 / $3,467.37	Professional		$1,905.46	$2,290.87	$3,467.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $1,905.46	Facility		$407.38	$407.38	$1,905.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,584.89 / $1,737.80	Professional		$407.38	$1,584.89	$1,737.80
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 $1,380.38 / $1,862.09 / $3,090.30	Professional		$1,380.38	$1,862.09	$3,090.30