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 $676.08 / $891.25 / $2,041.74	Professional		$676.08	$891.25	$2,041.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Professional		$1,258.93	$1,258.93	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $977.24 / $1,584.89	Professional		$691.83	$977.24	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $1,230.27	Professional		$870.96	$1,122.02	$1,230.27
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,000.00 / $1,548.82	Professional		$724.44	$1,000.00	$1,548.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $2,344.23	Professional		$758.58	$1,047.13	$2,344.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,698.24	Facility		$1,000.00	$1,000.00	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $1,659.59	Professional		$870.96	$1,288.25	$1,659.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $933.25	Facility		$588.84	$588.84	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $933.25	Professional		$588.84	$776.25	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $18,197.01	Facility		$2,344.23	$4,466.84	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,548.82	Professional		$645.65	$870.96	$1,548.82