Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,317.64	Facility		$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,621.81	Professional		$660.69	$776.25	$1,621.81
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $776.25 / $1,348.96	Professional		$741.31	$776.25	$1,348.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $870.96 / $1,479.11	Professional		$630.96	$870.96	$1,479.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,122.02 / $1,412.54	Professional		$831.76	$1,122.02	$1,412.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $891.25 / $1,479.11	Professional		$691.83	$891.25	$1,479.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $8,317.64	Facility		$954.99	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,000.00 / $2,187.76	Professional		$691.83	$1,000.00	$2,187.76
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,513.56	Facility		$1,023.29	$1,023.29	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,047.13 / $1,584.89	Professional		$870.96	$1,047.13	$1,584.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $758.58	Facility		$467.74	$467.74	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $758.58	Professional		$467.74	$707.95	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $22,387.21	Facility		$2,089.30	$3,981.07	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $831.76 / $1,380.38	Professional		$630.96	$831.76	$1,380.38