Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,754.40 / $8,511.38	Facility		$1,047.13	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $2,290.87	Professional		$891.25	$1,047.13	$2,290.87
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 $870.96 / $1,023.29 / $1,698.24	Professional		$870.96	$1,023.29	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $1,659.59	Facility		$501.19	$794.33	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,122.02 / $2,089.30	Professional		$741.31	$1,122.02	$2,089.30
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 $977.24 / $1,318.26 / $1,862.09	Professional		$977.24	$1,318.26	$1,862.09
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $1,621.81	Professional		$851.14	$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 $891.25 / $1,318.26 / $2,951.21	Professional		$891.25	$1,318.26	$2,951.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,995.26	Facility		$912.01	$912.01	$1,995.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,584.89 / $2,089.30	Professional		$912.01	$1,584.89	$2,089.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $954.99	Facility		$912.01	$912.01	$954.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $933.25 / $1,023.29	Professional		$645.65	$933.25	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,089.30 / $6,309.57	Facility		$316.23	$2,089.30	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,737.80	Professional		$794.33	$1,047.13	$1,737.80