Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,370.32 / $8,511.38	Facility		$1,348.96	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,412.54 / $3,548.13	Professional		$1,174.90	$1,412.54	$3,548.13
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 $1,071.52 / $1,621.81 / $2,630.27	Professional		$1,071.52	$1,621.81	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,584.89 / $2,630.27	Professional		$1,047.13	$1,584.89	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,737.80 / $1,905.46	Professional		$1,348.96	$1,737.80	$1,905.46
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,344.23	Professional		$1,122.02	$1,513.56	$2,344.23
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 $1,202.26 / $1,513.56 / $3,890.45	Professional		$1,202.26	$1,513.56	$3,890.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $2,630.27	Facility		$1,445.44	$1,445.44	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $3,388.44	Professional		$1,230.27	$2,137.96	$3,388.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,230.27	Facility		$575.44	$575.44	$1,230.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,202.26 / $1,258.93	Professional		$575.44	$1,202.26	$1,258.93
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 $1,000.00 / $1,318.26 / $2,398.83	Professional		$1,000.00	$1,318.26	$2,398.83