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 $1,174.90 / $1,412.54 / $3,162.28	Professional		$1,174.90	$1,412.54	$3,162.28
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 $1,412.54 / $1,445.44 / $2,570.40	Professional		$1,412.54	$1,445.44	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Facility		$2,398.83	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,754.23	Professional		$1,202.26	$1,659.59	$2,754.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $2,884.03	Professional		$1,659.59	$2,187.76	$2,884.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,630.27	Professional		$1,288.25	$1,737.80	$2,630.27
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 $1,230.27 / $1,737.80 / $3,981.07	Professional		$1,230.27	$1,737.80	$3,981.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $2,818.38	Facility		$1,621.81	$1,621.81	$2,818.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,949.84 / $2,818.38	Professional		$1,479.11	$1,949.84	$2,818.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,445.44	Professional		$1,288.25	$1,380.38	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,606.93 / $11,220.18	Facility		$3,311.31	$6,606.93	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,570.40	Professional		$1,174.90	$1,584.89	$2,570.40