Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $6,025.60 / $9,549.93	Facility		$1,258.93	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $2,630.27	Professional		$1,096.48	$1,258.93	$2,630.27
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 $1,230.27 / $1,288.25 / $2,238.72	Professional		$1,230.27	$1,288.25	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,398.83	Professional		$1,071.52	$1,445.44	$2,398.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,290.87	Professional		$1,318.26	$1,778.28	$2,290.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,398.83	Professional		$1,122.02	$1,479.11	$2,398.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,248.07 / $9,549.93	Facility		$1,047.13	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,621.81 / $3,630.78	Professional		$1,122.02	$1,621.81	$3,630.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,454.71	Facility		$1,621.81	$1,621.81	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $2,454.71	Professional		$1,445.44	$1,659.59	$2,454.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,348.96 / $1,348.96	Facility		$1,202.26	$1,348.96	$1,348.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $1,348.96	Professional		$1,148.15	$1,202.26	$1,348.96
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 $1,047.13 / $1,412.54 / $2,290.87	Professional		$1,047.13	$1,412.54	$2,290.87