Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $6,606.93 / $9,772.37	Facility		$1,584.89	$6,606.93	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,659.59 / $3,467.37	Professional		$1,445.44	$1,659.59	$3,467.37
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 $1,584.89 / $1,659.59 / $3,019.95	Professional		$1,584.89	$1,659.59	$3,019.95
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 $1,380.38 / $1,905.46 / $3,162.28	Professional		$1,380.38	$1,905.46	$3,162.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,951.21	Professional		$1,698.24	$2,290.87	$2,951.21
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,090.30	Professional		$1,445.44	$1,949.84	$3,090.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $9,772.37	Facility		$1,122.02	$5,370.32	$9,772.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $4,786.30	Professional		$1,479.11	$2,089.30	$4,786.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $3,235.94	Facility		$1,621.81	$1,621.81	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $3,467.37	Professional		$1,479.11	$2,137.96	$3,467.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $1,584.89	Facility		$28.18	$28.18	$1,584.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $588.84 / $1,584.89	Professional		$28.18	$588.84	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,128.31 / $39,810.72	Facility		$3,311.31	$8,128.31	$39,810.72
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