Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $7,943.28 / $12,022.64	Facility		$3,090.30	$7,943.28	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $2,754.23	Professional		$1,905.46	$2,344.23	$2,754.23
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 $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $4,677.35 / $10,000.00	Facility		$2,818.38	$4,677.35	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Professional		$14,125.38	$14,125.38	$14,125.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $6,309.57	Professional		$3,090.30	$3,981.07	$6,309.57
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,786.30 / $7,413.10	Professional		$3,162.28	$4,786.30	$7,413.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,943.28 / $12,022.64	Facility		$3,981.07	$7,943.28	$12,022.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $12,022.64	Professional		$1,905.46	$2,344.23	$12,022.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $3,235.94 / $3,235.94	Facility		$2,884.03	$3,235.94	$3,235.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,235.94	Professional		$2,884.03	$2,884.03	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,467.37	Facility		$2,884.03	$2,884.03	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,630.78	Professional		$1,230.27	$1,737.80	$3,630.78