Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,786.30 / $8,317.64	Facility		$1,202.26	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $3,162.28	Professional		$1,174.90	$1,348.96	$3,162.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,380.38 / $2,454.71	Professional		$1,318.26	$1,380.38	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,630.27	Professional		$1,174.90	$1,621.81	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,454.71	Professional		$1,412.54	$1,905.46	$2,454.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,344.23	Professional		$1,148.15	$1,513.56	$2,344.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $8,317.64	Facility		$1,023.29	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,737.80 / $3,890.45	Professional		$1,202.26	$1,737.80	$3,890.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,691.53	Facility		$1,698.24	$1,698.24	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $2,884.03	Professional		$1,445.44	$1,778.28	$2,884.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,445.44	Facility		$478.63	$478.63	$1,445.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,258.93 / $1,380.38	Professional		$478.63	$1,258.93	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $26,915.35	Facility		$2,344.23	$4,466.84	$26,915.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,548.82 / $2,511.89	Professional		$1,096.48	$1,548.82	$2,511.89