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 $645.65 / $741.31 / $1,548.82	Professional		$645.65	$741.31	$1,548.82
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 $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 $630.96 / $851.14 / $1,445.44	Professional		$630.96	$851.14	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,380.38	Professional		$812.83	$1,096.48	$1,380.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,445.44	Professional		$676.08	$891.25	$1,445.44
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 $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 $954.99 / $954.99 / $1,479.11	Facility		$954.99	$954.99	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $891.25 / $1,479.11	Professional		$851.14	$891.25	$1,479.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $812.83	Facility		$478.63	$478.63	$812.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $741.31	Professional		$478.63	$478.63	$741.31
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 $616.60 / $831.76 / $1,348.96	Professional		$616.60	$831.76	$1,348.96