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 $1,479.11 / $1,778.28 / $3,981.07	Professional		$1,479.11	$1,778.28	$3,981.07
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 $1,737.80 / $1,778.28 / $3,235.94	Professional		$1,737.80	$1,778.28	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,041.74 / $3,388.44	Professional		$1,445.44	$2,041.74	$3,388.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $3,467.37	Professional		$2,041.74	$2,691.53	$3,467.37
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,137.96 / $3,235.94	Professional		$1,548.82	$2,137.96	$3,235.94
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 $1,513.56 / $2,187.76 / $4,897.79	Professional		$1,513.56	$2,187.76	$4,897.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,467.37	Facility		$1,905.46	$1,905.46	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,548.13	Professional		$1,737.80	$2,344.23	$3,548.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,698.24	Facility		$1,621.81	$1,621.81	$1,698.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,698.24 / $1,778.28	Professional		$1,584.89	$1,698.24	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $6,760.83	Facility		$660.69	$2,570.40	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,235.94	Professional		$1,445.44	$1,995.26	$3,235.94