Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,165.95 / $10,471.29	Facility		$1,380.38	$6,165.95	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,754.23	Professional		$1,122.02	$1,318.26	$2,754.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,698.24 / $2,344.23	Professional		$1,148.15	$1,698.24	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,630.27	Professional		$1,230.27	$1,659.59	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $1,949.84	Professional		$1,380.38	$1,778.28	$1,949.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $2,511.89	Professional		$1,258.93	$1,659.59	$2,511.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $10,471.29	Facility		$1,122.02	$5,370.32	$10,471.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $3,890.45	Professional		$1,122.02	$1,513.56	$3,890.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,630.27	Facility		$1,819.70	$1,819.70	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,818.38	Professional		$1,513.56	$2,041.74	$2,818.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $1,445.44	Facility		$1,288.25	$1,445.44	$1,445.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,318.26 / $1,445.44	Professional		$1,258.93	$1,318.26	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $22,908.68	Facility		$2,344.23	$4,466.84	$22,908.68
United Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $2,691.53	Professional		$1,202.26	$1,548.82	$2,691.53