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 $1,122.02 / $1,318.26 / $3,019.95	Professional		$1,122.02	$1,318.26	$3,019.95
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 $1,258.93 / $1,318.26 / $2,344.23	Professional		$1,258.93	$1,318.26	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,511.89	Professional		$1,148.15	$1,548.82	$2,511.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,344.23	Professional		$1,348.96	$1,819.70	$2,344.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,513.56 / $2,454.71	Professional		$1,148.15	$1,513.56	$2,454.71
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 $1,148.15 / $1,698.24 / $3,801.89	Professional		$1,148.15	$1,698.24	$3,801.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $2,570.40	Facility		$1,584.89	$1,584.89	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $2,570.40	Professional		$1,412.54	$1,479.11	$2,570.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,318.26	Facility		$478.63	$478.63	$1,318.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,202.26 / $1,318.26	Professional		$478.63	$1,202.26	$1,318.26
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 $1,047.13 / $1,479.11 / $2,398.83	Professional		$1,047.13	$1,479.11	$2,398.83