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 $776.25 / $891.25 / $1,862.09	Professional		$776.25	$891.25	$1,862.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,318.26	Professional		$1,230.27	$1,230.27	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,737.80	Professional		$758.58	$1,023.29	$1,737.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,659.59	Professional		$977.24	$1,318.26	$1,659.59
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,621.81	Professional		$758.58	$1,023.29	$1,621.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,511.38	Facility		$1,023.29	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,230.27 / $2,691.53	Professional		$794.33	$1,230.27	$2,691.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,778.28	Facility		$1,000.00	$1,000.00	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,230.27 / $1,862.09	Professional		$1,047.13	$1,230.27	$1,862.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $912.01	Facility		$588.84	$588.84	$912.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $812.83 / $891.25	Professional		$588.84	$812.83	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $10,000.00	Facility		$912.01	$2,754.23	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,621.81	Professional		$707.95	$954.99	$1,621.81