Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,128.61 / $7,244.36	Facility		$1,479.11	$5,128.61	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,288.25 / $1,479.11	Professional		$758.58	$1,288.25	$1,479.11
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 $1,348.96 / $1,348.96 / $1,862.09	Professional		$1,348.96	$1,348.96	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,398.83 / $5,248.07	Facility		$1,202.26	$2,398.83	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $3,801.89	Professional		$1,819.70	$2,344.23	$3,801.89
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,862.09 / $3,090.30	Professional		$870.96	$1,862.09	$3,090.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $7,244.36	Facility		$2,398.83	$5,128.61	$7,244.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,412.54 / $4,365.16	Professional		$758.58	$1,412.54	$4,365.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $1,905.46	Facility		$1,737.80	$1,905.46	$1,905.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,905.46	Professional		$1,737.80	$1,737.80	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,089.30	Facility		$1,737.80	$1,737.80	$2,089.30
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $707.95 / $1,737.80	Professional		$489.78	$707.95	$1,737.80