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 $870.96 / $1,000.00 / $2,290.87	Professional		$870.96	$1,000.00	$2,290.87
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,479.11	Professional		$1,380.38	$1,380.38	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,511.89 / $3,090.30	Professional		$977.24	$2,511.89	$3,090.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,949.84	Professional		$1,122.02	$1,513.56	$1,949.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,174.90 / $1,778.28	Professional		$891.25	$1,174.90	$1,778.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $8,317.64	Facility		$1,023.29	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,951.21	Professional		$912.01	$1,288.25	$2,951.21
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $2,041.74	Facility		$954.99	$954.99	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,949.84	Professional		$1,071.52	$1,202.26	$1,949.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $977.24	Facility		$467.74	$467.74	$977.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $933.25 / $977.24	Professional		$467.74	$933.25	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,000.00	Facility		$2,089.30	$3,981.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,778.28	Professional		$794.33	$1,047.13	$1,778.28