Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,025.60 / $9,549.93	Facility		$1,288.25	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,000.00 / $2,630.27	Professional		$851.14	$1,000.00	$2,630.27
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,380.38	Professional		$1,288.25	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,754.23 / $8,128.31	Facility		$741.31	$2,754.23	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $1,071.52 / $1,905.46	Professional		$645.65	$1,071.52	$1,905.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,698.24	Professional		$891.25	$1,202.26	$1,698.24
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,584.89	Professional		$794.33	$977.24	$1,584.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,248.07 / $9,549.93	Facility		$1,047.13	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $2,818.38	Professional		$851.14	$1,202.26	$2,818.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $954.99 / $1,905.46	Facility		$870.96	$954.99	$1,905.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,479.11 / $2,041.74	Professional		$870.96	$1,479.11	$2,041.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $891.25 / $1,148.15	Facility		$616.60	$891.25	$1,148.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $933.25 / $1,148.15	Professional		$870.96	$933.25	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,168.69 / $17,378.01	Facility		$1,584.89	$4,168.69	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $1,584.89	Professional		$724.44	$954.99	$1,584.89