Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,025.60 / $9,549.93	Facility		$1,380.38	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $891.25 / $2,238.72	Professional		$758.58	$891.25	$2,238.72
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 $851.14 / $912.01 / $1,548.82	Professional		$851.14	$912.01	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,698.24	Professional		$758.58	$1,023.29	$1,698.24
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 $794.33 / $1,047.13 / $1,698.24	Professional		$794.33	$1,047.13	$1,698.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Professional		$1,000.00	$1,000.00	$1,000.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $9,549.93	Facility		$1,122.02	$5,370.32	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,174.90 / $2,630.27	Professional		$794.33	$1,174.90	$2,630.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,737.80	Facility		$1,230.27	$1,230.27	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,174.90 / $1,778.28	Professional		$1,071.52	$1,174.90	$1,778.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,071.52	Facility		$691.83	$691.83	$1,071.52
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $891.25	Professional		$691.83	$691.83	$891.25
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 $724.44 / $977.24 / $1,621.81	Professional		$724.44	$977.24	$1,621.81