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 $2,630.27 / $3,162.28 / $6,165.95	Professional		$2,630.27	$3,162.28	$6,165.95
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 $4,265.80 / $4,265.80 / $4,677.35	Professional		$4,265.80	$4,265.80	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Facility		$5,128.61	$5,128.61	$5,128.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,715.35 / $6,025.60	Professional		$2,630.27	$3,715.35	$6,025.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,570.88 / $6,025.60	Professional		$3,467.37	$4,570.88	$6,025.60
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,715.35 / $6,025.60	Professional		$2,818.38	$3,715.35	$6,025.60
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 $2,691.53 / $4,073.80 / $8,128.31	Professional		$2,691.53	$4,073.80	$8,128.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $6,025.60	Facility		$3,715.35	$3,715.35	$6,025.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,311.31 / $6,456.54	Professional		$3,162.28	$3,311.31	$6,456.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
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 $2,570.40 / $3,548.13 / $5,754.40	Professional		$2,570.40	$3,548.13	$5,754.40