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 $1,698.24 / $2,089.30 / $5,623.41	Professional		$1,698.24	$2,089.30	$5,623.41
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 $1,548.82 / $2,630.27 / $3,311.31	Professional		$1,548.82	$2,630.27	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $3,548.13	Professional		$1,737.80	$2,454.71	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,818.38	Professional		$2,511.89	$2,511.89	$2,818.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,454.71 / $3,981.07	Professional		$1,995.26	$2,454.71	$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 $1,698.24 / $2,187.76 / $5,623.41	Professional		$1,698.24	$2,187.76	$5,623.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $3,090.30 / $4,265.80	Professional		$15.14	$3,090.30	$4,265.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,041.74	Facility		$1,698.24	$1,698.24	$2,041.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,737.80 / $2,041.74	Professional		$1,621.81	$1,737.80	$2,041.74
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 $1,659.59 / $2,290.87 / $3,630.78	Professional		$1,659.59	$2,290.87	$3,630.78