Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,370.32 / $8,511.38	Facility		$1,047.13	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,073.80 / $11,748.98	Professional		$3,311.31	$4,073.80	$11,748.98
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 $5,248.07 / $5,248.07 / $5,248.07	Professional		$5,248.07	$5,248.07	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,677.35 / $6,918.31	Professional		$3,467.37	$4,677.35	$6,918.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,623.41	Professional		$5,011.87	$5,011.87	$5,623.41
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,786.30 / $7,943.28	Professional		$3,630.78	$4,786.30	$7,943.28
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 $3,388.44 / $4,265.80 / $8,912.51	Professional		$3,388.44	$4,265.80	$8,912.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $6,606.93 / $8,511.38	Professional		$25.12	$6,606.93	$8,511.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,630.78 / $3,630.78	Facility		$3,388.44	$3,630.78	$3,630.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,467.37 / $3,630.78	Professional		$3,235.94	$3,467.37	$3,630.78
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 $3,311.31 / $4,466.84 / $7,079.46	Professional		$3,311.31	$4,466.84	$7,079.46