Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $6,165.95 / $9,549.93	Facility		$1,202.26	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $2,398.83	Professional		$1,000.00	$1,174.90	$2,398.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $21,379.62 / $57,543.99	Facility		$8,511.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,202.26 / $1,949.84	Professional		$1,148.15	$1,202.26	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,238.72	Professional		$933.25	$1,288.25	$2,238.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,862.09 / $2,454.71	Professional		$1,412.54	$1,862.09	$2,454.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,445.44 / $1,995.26	Professional		$954.99	$1,445.44	$1,995.26
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 $1,023.29 / $1,479.11 / $3,467.37	Professional		$1,023.29	$1,479.11	$3,467.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $2,290.87	Facility		$1,230.27	$1,230.27	$2,290.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $2,290.87	Professional		$1,122.02	$1,548.82	$2,290.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,122.02	Facility		$933.25	$933.25	$1,122.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,174.90	Professional		$812.83	$1,122.02	$1,174.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $22,387.21	Facility		$2,454.71	$5,495.41	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,089.30	Professional		$933.25	$1,230.27	$2,089.30