Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,265.80 / $8,317.64	Facility		$1,096.48	$4,265.80	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $1,412.54	Professional		$537.03	$645.65	$1,412.54
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 / $645.65 / $1,122.02	Professional		$616.60	$645.65	$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 $512.86 / $724.44 / $1,230.27	Professional		$512.86	$724.44	$1,230.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $954.99 / $1,202.26	Professional		$707.95	$954.99	$1,202.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,023.29	Professional		$512.86	$707.95	$1,023.29
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 $575.44 / $851.14 / $1,819.70	Professional		$575.44	$851.14	$1,819.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,258.93	Facility		$645.65	$645.65	$1,258.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,318.26	Professional		$676.08	$831.76	$1,318.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $602.56 / $645.65	Facility		$588.84	$602.56	$645.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $645.65 / $645.65	Professional		$588.84	$645.65	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $22,387.21	Facility		$2,089.30	$3,981.07	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,148.15	Professional		$512.86	$676.08	$1,148.15