Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $9,549.93 / $15,848.93	Facility		$3,467.37	$9,549.93	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $6,918.31	Professional		$1,905.46	$3,019.95	$6,918.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,489.63 / $19,952.62	Facility		$8,511.38	$13,489.63	$19,952.62
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $4,786.30	Professional		$2,951.21	$2,951.21	$4,786.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $6,165.95 / $12,882.50	Facility		$3,630.78	$6,165.95	$12,882.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,981.07 / $8,511.38	Professional		$1,778.28	$3,981.07	$8,511.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,897.79 / $6,025.60	Professional		$2,630.27	$4,897.79	$6,025.60
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,890.45 / $6,606.93	Professional		$2,187.76	$3,890.45	$6,606.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $9,332.54 / $15,848.93	Facility		$3,467.37	$9,332.54	$15,848.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,388.44 / $10,964.78	Professional		$2,041.74	$3,388.44	$10,964.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $3,715.35	Facility		$1,659.59	$1,659.59	$3,715.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $3,715.35 / $3,715.35	Professional		$1,659.59	$3,715.35	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,466.84	Facility		$3,715.35	$3,715.35	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,238.72 / $4,677.35	Professional		$1,584.89	$2,238.72	$4,677.35