Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $5,370.32 / $8,511.38	Facility		$891.25	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $933.25 / $1,905.46	Professional		$794.33	$933.25	$1,905.46
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 $1,202.26 / $1,288.25 / $1,288.25	Professional		$1,202.26	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,412.54 / $8,128.31	Facility		$501.19	$1,412.54	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $1,047.13 / $1,819.70	Professional		$602.56	$1,047.13	$1,819.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,584.89	Professional		$812.83	$1,122.02	$1,584.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $977.24 / $1,621.81	Professional		$776.25	$977.24	$1,621.81
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,265.80 / $8,317.64	Facility		$891.25	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $2,511.89	Professional		$794.33	$1,096.48	$2,511.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $851.14 / $1,737.80	Facility		$758.58	$851.14	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,479.11 / $1,905.46	Professional		$758.58	$1,479.11	$1,905.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $851.14 / $1,148.15	Facility		$831.76	$851.14	$1,148.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $870.96 / $1,148.15	Professional		$812.83	$870.96	$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 $676.08 / $912.01 / $1,548.82	Professional		$676.08	$912.01	$1,548.82