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 $2,398.83 / $2,884.03 / $8,511.38	Professional		$2,398.83	$2,884.03	$8,511.38
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 $3,981.07 / $3,981.07 / $4,265.80	Professional		$3,981.07	$3,981.07	$4,265.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $5,623.41	Professional		$2,454.71	$3,388.44	$5,623.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $4,265.80 / $5,623.41	Professional		$3,235.94	$4,265.80	$5,623.41
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,388.44 / $5,495.41	Professional		$2,570.40	$3,388.44	$5,495.41
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 $2,454.71 / $3,715.35 / $7,943.28	Professional		$2,454.71	$3,715.35	$7,943.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $5,623.41	Facility		$3,388.44	$3,388.44	$5,623.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,090.30 / $5,623.41	Professional		$2,951.21	$3,090.30	$5,623.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Professional		$2,630.27	$2,630.27	$2,630.27
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 $2,344.23 / $3,235.94 / $5,248.07	Professional		$2,344.23	$3,235.94	$5,248.07