Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $6,165.95 / $9,549.93	Facility		$1,148.15	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $758.58 / $1,584.89	Professional		$660.69	$758.58	$1,584.89
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 $724.44 / $758.58 / $1,318.26	Professional		$724.44	$758.58	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,445.44	Professional		$645.65	$851.14	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,380.38	Professional		$794.33	$1,071.52	$1,380.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,380.38	Professional		$660.69	$891.25	$1,380.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,248.07 / $9,549.93	Facility		$1,047.13	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $977.24 / $2,137.96	Professional		$676.08	$977.24	$2,137.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,513.56	Facility		$912.01	$912.01	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,479.11	Professional		$812.83	$1,000.00	$1,479.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $812.83	Facility		$691.83	$691.83	$812.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $758.58	Professional		$691.83	$691.83	$758.58
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 $616.60 / $831.76 / $1,412.54	Professional		$616.60	$831.76	$1,412.54