Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,165.95 / $9,549.93	Facility		$1,445.44	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,778.28 / $4,265.80	Professional		$1,548.82	$1,778.28	$4,265.80
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 $1,698.24 / $1,862.09 / $3,162.28	Professional		$1,698.24	$1,862.09	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $3,388.44	Professional		$1,513.56	$2,041.74	$3,388.44
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 $1,548.82 / $2,089.30 / $3,311.31	Professional		$1,548.82	$2,089.30	$3,311.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,248.07 / $9,549.93	Facility		$1,122.02	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $5,370.32	Professional		$1,548.82	$2,238.72	$5,370.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,467.37	Facility		$2,290.87	$2,290.87	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,290.87 / $3,467.37	Professional		$2,089.30	$2,290.87	$3,467.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,737.80	Facility		$1,659.59	$1,659.59	$1,737.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,659.59 / $1,737.80	Professional		$1,621.81	$1,659.59	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $22,387.21	Facility		$2,454.71	$5,495.41	$22,387.21
United 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