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 $549.54 / $645.65 / $1,737.80	Professional		$549.54	$645.65	$1,737.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $660.69 / $1,122.02	Professional		$616.60	$660.69	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,288.25	Professional		$588.84	$758.58	$1,288.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,202.26	Professional		$691.83	$933.25	$1,202.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $1,258.93	Professional		$588.84	$812.83	$1,258.93
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 $575.44 / $870.96 / $1,905.46	Professional		$575.44	$870.96	$1,905.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,258.93	Facility		$912.01	$912.01	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $954.99 / $1,318.26	Professional		$912.01	$954.99	$1,318.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $851.14	Facility		$467.74	$467.74	$851.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $588.84 / $851.14	Professional		$467.74	$588.84	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,000.00	Facility		$1,348.96	$3,548.13	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $741.31 / $1,174.90	Professional		$537.03	$741.31	$1,174.90