Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $8,511.38	Facility		$1,288.25	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,819.70	Professional		$741.31	$870.96	$1,819.70
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 $831.76 / $891.25 / $1,513.56	Professional		$831.76	$891.25	$1,513.56
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 $933.25 / $1,258.93 / $1,621.81	Professional		$933.25	$1,258.93	$1,621.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,659.59	Professional		$776.25	$1,023.29	$1,659.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,454.71	Professional		$776.25	$1,122.02	$2,454.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,698.24	Facility		$1,122.02	$1,122.02	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $1,698.24	Professional		$1,000.00	$1,174.90	$1,698.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $954.99	Facility		$575.44	$575.44	$954.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $912.01	Professional		$575.44	$794.33	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $22,387.21	Facility		$2,344.23	$4,466.84	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,584.89	Professional		$707.95	$954.99	$1,584.89