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 $758.58 / $891.25 / $1,905.46	Professional		$758.58	$891.25	$1,905.46
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 $851.14 / $891.25 / $1,479.11	Professional		$851.14	$891.25	$1,479.11
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 $776.25 / $1,023.29 / $1,698.24	Professional		$776.25	$1,023.29	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,380.38 / $1,737.80	Professional		$1,000.00	$1,380.38	$1,737.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,737.80	Professional		$831.76	$1,096.48	$1,737.80
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 $812.83 / $1,148.15 / $2,570.40	Professional		$812.83	$1,148.15	$2,570.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,819.70	Facility		$1,023.29	$1,023.29	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $1,778.28	Professional		$977.24	$1,258.93	$1,778.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $912.01	Facility		$467.74	$467.74	$912.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $912.01	Professional		$467.74	$630.96	$912.01
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 $724.44 / $977.24 / $1,584.89	Professional		$724.44	$977.24	$1,584.89