Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,370.32 / $8,511.38	Facility		$1,412.54	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,388.44 / $6,309.57	Professional		$2,884.03	$3,388.44	$6,309.57
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 $3,235.94 / $3,388.44 / $5,623.41	Professional		$3,235.94	$3,388.44	$5,623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $6,456.54	Professional		$2,884.03	$3,890.45	$6,456.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,786.30 / $6,165.95	Professional		$3,548.13	$4,786.30	$6,165.95
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,073.80 / $10,471.29	Professional		$3,019.95	$4,073.80	$10,471.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,265.80 / $8,912.51	Professional		$2,951.21	$4,265.80	$8,912.51
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $6,760.83	Facility		$4,365.16	$4,365.16	$6,760.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $6,165.95	Professional		$3,801.89	$4,466.84	$6,165.95
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $3,890.45	Facility		$588.84	$588.84	$3,890.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $3,090.30 / $3,388.44	Professional		$588.84	$3,090.30	$3,388.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,365.16 / $22,387.21	Facility		$2,089.30	$4,365.16	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $6,309.57	Professional		$2,818.38	$3,715.35	$6,309.57