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 $1,445.44 / $1,737.80 / $3,890.45	Professional		$1,445.44	$1,737.80	$3,890.45
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 $2,398.83 / $2,398.83 / $2,570.40	Professional		$2,398.83	$2,398.83	$2,570.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,995.26 / $3,311.31	Professional		$1,412.54	$1,995.26	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $3,467.37	Professional		$1,995.26	$2,691.53	$3,467.37
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,090.30	Professional		$1,513.56	$2,089.30	$3,090.30
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 $1,479.11 / $2,137.96 / $5,128.61	Professional		$1,479.11	$2,137.96	$5,128.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $3,388.44	Facility		$1,905.46	$1,905.46	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $3,548.13	Professional		$1,659.59	$2,398.83	$3,548.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,621.81	Facility		$1,479.11	$1,479.11	$1,621.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,621.81 / $1,737.80	Professional		$1,479.11	$1,621.81	$1,737.80
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 $1,380.38 / $1,905.46 / $3,162.28	Professional		$1,380.38	$1,905.46	$3,162.28