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 / $8,709.64	Facility		$1,047.13	$5,754.40	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,511.89 / $5,754.40	Professional		$2,089.30	$2,511.89	$5,754.40
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 $2,454.71 / $2,570.40 / $4,365.16	Professional		$2,454.71	$2,570.40	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $4,897.79	Professional		$2,137.96	$2,884.03	$4,897.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $4,897.79	Professional		$2,884.03	$3,801.89	$4,897.79
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $4,570.88	Professional		$2,290.87	$3,019.95	$4,570.88
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 $2,089.30 / $3,090.30 / $7,079.46	Professional		$2,089.30	$3,090.30	$7,079.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $4,897.79	Facility		$2,884.03	$2,884.03	$4,897.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $4,677.35	Professional		$2,344.23	$2,884.03	$4,677.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,398.83	Facility		$2,344.23	$2,344.23	$2,398.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,454.71 / $2,570.40	Professional		$2,290.87	$2,454.71	$2,570.40
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 $2,041.74 / $2,884.03 / $4,570.88	Professional		$2,041.74	$2,884.03	$4,570.88