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 $1,584.89 / $2,511.89 / $4,265.80	Professional		$1,584.89	$2,511.89	$4,265.80
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 $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,511.89 / $4,265.80	Professional		$1,479.11	$2,511.89	$4,265.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,548.13	Professional		$3,162.28	$3,162.28	$3,548.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,754.23 / $4,265.80	Professional		$1,479.11	$2,754.23	$4,265.80
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 / $2,691.53 / $5,888.44	Professional		$1,862.09	$2,691.53	$5,888.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,819.70 / $4,677.35	Professional		$1,737.80	$1,819.70	$4,677.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,089.30	Facility		$1,778.28	$1,778.28	$2,089.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,089.30 / $2,187.76	Professional		$1,778.28	$2,089.30	$2,187.76
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 $1,698.24 / $2,398.83 / $4,365.16	Professional		$1,698.24	$2,398.83	$4,365.16