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 $933.25 / $1,202.26 / $3,019.95	Professional		$933.25	$1,202.26	$3,019.95
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 $1,122.02 / $1,318.26 / $2,041.74	Professional		$1,122.02	$1,318.26	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,995.26	Professional		$1,000.00	$1,318.26	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,698.24	Professional		$1,548.82	$1,548.82	$1,698.24
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,238.72	Professional		$1,047.13	$1,412.54	$2,238.72
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 $1,000.00 / $1,258.93 / $2,754.23	Professional		$1,000.00	$1,258.93	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,698.24 / $2,398.83	Professional		$1,621.81	$1,698.24	$2,398.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $7,943.28 / $12,302.69	Facility		$3,311.31	$7,943.28	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $2,041.74	Professional		$954.99	$1,258.93	$2,041.74