Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,165.95 / $9,549.93	Facility		$1,412.54	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $3,311.31	Professional		$1,348.96	$1,584.89	$3,311.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,344.23	Professional		$2,137.96	$2,137.96	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,819.70 / $3,019.95	Professional		$1,318.26	$1,819.70	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,137.96 / $2,754.23	Professional		$1,584.89	$2,137.96	$2,754.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,884.03	Professional		$1,348.96	$1,778.28	$2,884.03
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,248.07 / $9,549.93	Facility		$1,122.02	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,949.84 / $4,466.84	Professional		$1,412.54	$1,949.84	$4,466.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,090.30	Facility		$2,041.74	$2,041.74	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,995.26 / $3,090.30	Professional		$1,905.46	$1,995.26	$3,090.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $1,659.59	Facility		$1,479.11	$1,659.59	$1,659.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,479.11 / $1,659.59	Professional		$1,445.44	$1,479.11	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $18,197.01	Facility		$2,344.23	$4,466.84	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,884.03	Professional		$1,288.25	$1,737.80	$2,884.03