Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $5,370.32 / $8,511.38	Facility		$1,000.00	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $2,454.71	Professional		$870.96	$1,047.13	$2,454.71
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 $1,412.54 / $1,513.56 / $1,584.89	Professional		$1,412.54	$1,513.56	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Facility		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $1,995.26	Professional		$870.96	$1,230.27	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,380.38 / $1,778.28	Professional		$1,023.29	$1,380.38	$1,778.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,174.90 / $1,862.09	Professional		$870.96	$1,174.90	$1,862.09
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,265.80 / $8,317.64	Facility		$1,000.00	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,380.38 / $2,951.21	Professional		$912.01	$1,380.38	$2,951.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $2,041.74	Facility		$1,318.26	$1,318.26	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,288.25 / $2,187.76	Professional		$1,122.02	$1,288.25	$2,187.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $977.24 / $1,096.48	Facility		$588.84	$977.24	$1,096.48
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $1,096.48	Professional		$588.84	$977.24	$1,096.48
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 $831.76 / $1,202.26 / $1,862.09	Professional		$831.76	$1,202.26	$1,862.09