Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,606.93 / $11,220.18	Facility		$1,412.54	$6,606.93	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $870.96 / $2,089.30	Professional		$758.58	$870.96	$2,089.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,288.25 / $1,318.26	Professional		$1,202.26	$1,288.25	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,659.59	Professional		$724.44	$1,000.00	$1,659.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,584.89	Professional		$912.01	$1,230.27	$1,584.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,621.81	Professional		$758.58	$1,000.00	$1,621.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,495.41 / $10,964.78	Facility		$1,122.02	$5,495.41	$10,964.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,511.89	Professional		$776.25	$1,122.02	$2,511.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,737.80	Facility		$1,096.48	$1,096.48	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $1,819.70	Professional		$1,023.29	$1,148.15	$1,819.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $912.01	Facility		$831.76	$831.76	$912.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $870.96 / $912.01	Professional		$831.76	$870.96	$912.01
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 $707.95 / $954.99 / $1,584.89	Professional		$707.95	$954.99	$1,584.89