Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,786.30 / $8,709.64	Facility		$1,202.26	$4,786.30	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $3,090.30	Professional		$1,122.02	$1,348.96	$3,090.30
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 $1,071.52 / $1,584.89 / $2,238.72	Professional		$1,071.52	$1,584.89	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $2,454.71	Professional		$1,071.52	$1,548.82	$2,454.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $1,778.28	Professional		$1,258.93	$1,621.81	$1,778.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,290.87	Professional		$1,148.15	$1,548.82	$2,290.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,890.45 / $8,317.64	Facility		$1,023.29	$3,890.45	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $3,630.78	Professional		$1,122.02	$1,513.56	$3,630.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,511.89	Facility		$1,778.28	$1,778.28	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $2,630.27	Professional		$1,479.11	$1,905.46	$2,630.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,318.26	Facility		$478.63	$478.63	$1,318.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,174.90 / $1,258.93	Professional		$478.63	$1,174.90	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $21,877.62	Facility		$2,089.30	$3,981.07	$21,877.62
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,454.71	Professional		$1,023.29	$1,348.96	$2,454.71