Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,370.32 / $8,511.38	Facility		$1,412.54	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,621.81 / $3,467.37	Professional		$1,445.44	$1,621.81	$3,467.37
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 $2,238.72 / $2,238.72 / $2,398.83	Professional		$2,238.72	$2,238.72	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $3,162.28	Professional		$1,380.38	$1,905.46	$3,162.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,951.21	Professional		$1,698.24	$2,290.87	$2,951.21
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,019.95	Professional		$1,445.44	$1,905.46	$3,019.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $4,677.35	Professional		$1,479.11	$2,137.96	$4,677.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,235.94	Facility		$1,995.26	$1,995.26	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,137.96 / $3,388.44	Professional		$1,778.28	$2,137.96	$3,388.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,659.59	Facility		$1,230.27	$1,230.27	$1,659.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,513.56 / $1,659.59	Professional		$1,230.27	$1,513.56	$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 $1,380.38 / $1,862.09 / $3,019.95	Professional		$1,380.38	$1,862.09	$3,019.95