Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,754.40 / $8,511.38	Facility		$1,047.13	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $5,495.41	Professional		$1,819.70	$2,238.72	$5,495.41
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,818.38 / $3,548.13	Professional		$1,621.81	$2,818.38	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,715.35	Professional		$1,819.70	$2,398.83	$3,715.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,090.30	Professional		$2,754.23	$2,754.23	$3,090.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,511.89 / $3,981.07	Professional		$1,819.70	$2,511.89	$3,981.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $8,317.64	Facility		$1,023.29	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,398.83 / $5,888.44	Professional		$1,862.09	$2,398.83	$5,888.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,630.27 / $4,168.69	Professional		$2,454.71	$2,630.27	$4,168.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $1,905.46	Professional		$1,737.80	$1,819.70	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $6,760.83	Facility		$660.69	$2,570.40	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $3,801.89	Professional		$1,737.80	$2,290.87	$3,801.89