Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,265.80 / $8,317.64	Facility		$1,202.26	$4,265.80	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,412.54 / $2,951.21	Professional		$1,202.26	$1,412.54	$2,951.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $2,454.71	Professional		$1,412.54	$1,479.11	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,479.11 / $2,691.53	Professional		$933.25	$1,479.11	$2,691.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,041.74 / $2,630.27	Professional		$1,548.82	$2,041.74	$2,630.27
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,621.81 / $2,187.76	Professional		$977.24	$1,621.81	$2,187.76
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 $1,202.26 / $1,778.28 / $4,168.69	Professional		$1,202.26	$1,778.28	$4,168.69
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,691.53	Facility		$1,318.26	$1,318.26	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,884.03	Professional		$1,230.27	$1,659.59	$2,884.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,318.26	Facility		$467.74	$467.74	$1,318.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $1,023.29 / $1,348.96	Professional		$467.74	$1,023.29	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $8,912.51	Facility		$912.01	$2,754.23	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,570.40	Professional		$1,047.13	$1,479.11	$2,570.40