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 $933.25 / $1,230.27 / $2,511.89	Professional		$933.25	$1,230.27	$2,511.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,258.93 / $2,041.74	Professional		$1,202.26	$1,258.93	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,344.23	Professional		$870.96	$1,318.26	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $2,511.89	Professional		$1,445.44	$1,905.46	$2,511.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,041.74	Professional		$912.01	$1,479.11	$2,041.74
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 $1,023.29 / $1,445.44 / $3,388.44	Professional		$1,023.29	$1,445.44	$3,388.44
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $2,398.83	Facility		$1,348.96	$1,348.96	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,290.87	Professional		$1,148.15	$1,584.89	$2,290.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $1,659.59	Facility		$1,174.90	$1,230.27	$1,659.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,659.59	Professional		$1,122.02	$1,230.27	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $6,309.57	Facility		$912.01	$2,754.23	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $2,137.96	Professional		$977.24	$1,318.26	$2,137.96