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 $1,621.81 / $1,949.84 / $4,365.16	Professional		$1,621.81	$1,949.84	$4,365.16
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 $2,630.27 / $2,630.27 / $2,884.03	Professional		$2,630.27	$2,630.27	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,238.72 / $3,715.35	Professional		$1,621.81	$2,238.72	$3,715.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $3,801.89	Professional		$2,187.76	$2,884.03	$3,801.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,630.78	Professional		$1,737.80	$2,290.87	$3,630.78
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 $1,659.59 / $2,454.71 / $5,370.32	Professional		$1,659.59	$2,454.71	$5,370.32
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $3,801.89	Facility		$2,238.72	$2,238.72	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $3,981.07	Professional		$1,949.84	$2,754.23	$3,981.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $1,949.84	Professional		$1,737.80	$1,819.70	$1,949.84
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 $1,584.89 / $2,187.76 / $3,548.13	Professional		$1,584.89	$2,187.76	$3,548.13