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 $1,659.59 / $1,995.26 / $4,786.30	Professional		$1,659.59	$1,995.26	$4,786.30
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 $2,691.53 / $2,691.53 / $2,951.21	Professional		$2,691.53	$2,691.53	$2,951.21
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 $1,659.59 / $2,290.87 / $3,801.89	Professional		$1,659.59	$2,290.87	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $3,890.45	Professional		$2,238.72	$2,951.21	$3,890.45
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,715.35	Professional		$1,819.70	$2,344.23	$3,715.35
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 $1,698.24 / $2,511.89 / $5,495.41	Professional		$1,698.24	$2,511.89	$5,495.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,801.89	Facility		$2,290.87	$2,290.87	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,818.38 / $4,073.80	Professional		$1,995.26	$2,818.38	$4,073.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,949.84	Facility		$1,862.09	$1,862.09	$1,949.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,905.46 / $1,995.26	Professional		$1,778.28	$1,905.46	$1,995.26
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 $1,621.81 / $2,238.72 / $3,630.78	Professional		$1,621.81	$2,238.72	$3,630.78