Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $10,471.29 / $16,982.44	Facility		$4,677.35	$10,471.29	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $4,466.84	Professional		$2,344.23	$3,162.28	$4,466.84
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $6,309.57	Professional		$3,019.95	$3,019.95	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,165.95 / $13,182.57	Facility		$3,801.89	$6,165.95	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Professional		$18,620.87	$18,620.87	$18,620.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $5,248.07 / $8,317.64	Professional		$4,073.80	$5,248.07	$8,317.64
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,466.84 / $7,244.36	Professional		$2,884.03	$4,466.84	$7,244.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,772.37 / $16,218.10	Facility		$4,570.88	$9,772.37	$16,218.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,162.28 / $11,481.54	Professional		$2,344.23	$3,162.28	$11,481.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $4,265.80 / $4,265.80	Facility		$3,890.45	$4,265.80	$4,265.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,265.80	Professional		$3,890.45	$3,890.45	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,677.35	Facility		$3,890.45	$3,890.45	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $4,786.30	Professional		$1,621.81	$2,344.23	$4,786.30