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 $2,238.72 / $2,691.53 / $6,918.31	Professional		$2,238.72	$2,691.53	$6,918.31
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 $3,715.35 / $3,715.35 / $3,981.07	Professional		$3,715.35	$3,715.35	$3,981.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $5,248.07	Professional		$2,290.87	$3,235.94	$5,248.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,981.07 / $5,248.07	Professional		$3,019.95	$3,981.07	$5,248.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,235.94 / $5,248.07	Professional		$2,454.71	$3,235.94	$5,248.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,511.38	Facility		$1,023.29	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,548.13 / $7,413.10	Professional		$2,344.23	$3,548.13	$7,413.10
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $5,248.07	Facility		$3,235.94	$3,235.94	$5,248.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $5,495.41	Professional		$2,818.38	$3,801.89	$5,495.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,691.53 / $2,691.53	Facility		$2,570.40	$2,691.53	$2,691.53
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,630.27 / $2,691.53	Professional		$2,454.71	$2,630.27	$2,691.53
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 $2,187.76 / $3,090.30 / $5,011.87	Professional		$2,187.76	$3,090.30	$5,011.87