Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $8,709.64 / $14,125.38	Facility		$3,981.07	$8,709.64	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,715.35	Professional		$1,949.84	$2,630.27	$3,715.35
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 $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,128.61 / $10,964.78	Facility		$3,162.28	$5,128.61	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Professional		$15,488.17	$15,488.17	$15,488.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $7,079.46	Professional		$3,388.44	$4,365.16	$7,079.46
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,370.32 / $8,128.31	Professional		$3,467.37	$5,370.32	$8,128.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $8,709.64 / $14,125.38	Facility		$3,630.78	$8,709.64	$14,125.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $9,549.93	Professional		$1,949.84	$2,630.27	$9,549.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,548.13 / $3,548.13	Facility		$3,235.94	$3,548.13	$3,548.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,548.13	Professional		$3,235.94	$3,235.94	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,890.45	Facility		$3,235.94	$3,235.94	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $4,073.80	Professional		$1,348.96	$1,949.84	$4,073.80