Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,691.53 / $8,317.64	Facility		$1,000.00	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,737.80 / $3,388.44	Professional		$1,479.11	$1,737.80	$3,388.44
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $3,467.37	Professional		$1,513.56	$2,137.96	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $2,818.38	Professional		$1,995.26	$2,570.40	$2,818.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $3,311.31	Professional		$1,584.89	$2,187.76	$3,311.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,344.23 / $8,317.64	Facility		$724.44	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $4,786.30	Professional		$1,445.44	$1,995.26	$4,786.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,467.37	Facility		$1,995.26	$1,995.26	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,818.38 / $3,548.13	Professional		$1,778.28	$2,818.38	$3,548.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $1,698.24	Facility		$1,548.82	$1,698.24	$1,698.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,698.24 / $1,778.28	Professional		$1,621.81	$1,698.24	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,000.00	Facility		$1,348.96	$3,548.13	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,388.44	Professional		$1,513.56	$1,995.26	$3,388.44