Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $5,754.40 / $8,511.38	Facility		$1,023.29	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,023.29 / $2,344.23	Professional		$870.96	$1,023.29	$2,344.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $1,621.81	Professional		$1,348.96	$1,445.44	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $1,621.81	Facility		$489.78	$794.33	$1,621.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,096.48 / $2,041.74	Professional		$707.95	$1,096.48	$2,041.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $1,862.09	Professional		$1,000.00	$1,348.96	$1,862.09
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,621.81	Professional		$812.83	$1,000.00	$1,621.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $8,317.64	Facility		$1,023.29	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $2,818.38	Professional		$870.96	$1,230.27	$2,818.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $912.01 / $1,949.84	Facility		$794.33	$912.01	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,621.81 / $1,949.84	Professional		$794.33	$1,621.81	$1,949.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $933.25 / $933.25	Facility		$776.25	$933.25	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $933.25 / $977.24	Professional		$407.38	$933.25	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,778.28 / $3,890.45	Facility		$549.54	$1,778.28	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,698.24	Professional		$758.58	$1,023.29	$1,698.24