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 $1,348.96 / $1,584.89 / $3,548.13	Professional		$1,348.96	$1,584.89	$3,548.13
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 $2,041.74 / $2,238.72 / $2,238.72	Professional		$2,041.74	$2,238.72	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $2,511.89	Facility		$501.19	$794.33	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,659.59 / $3,090.30	Professional		$1,148.15	$1,659.59	$3,090.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,818.38	Professional		$1,513.56	$2,041.74	$2,818.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,454.71	Professional		$1,071.52	$1,513.56	$2,454.71
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 $1,348.96 / $1,905.46 / $4,466.84	Professional		$1,348.96	$1,905.46	$4,466.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,513.56 / $2,884.03	Facility		$1,318.26	$1,513.56	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,630.27 / $3,162.28	Professional		$1,318.26	$2,630.27	$3,162.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,584.89 / $1,584.89	Facility		$1,412.54	$1,584.89	$1,584.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,445.44 / $1,584.89	Professional		$1,348.96	$1,445.44	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,089.30 / $6,309.57	Facility		$316.23	$2,089.30	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,630.27	Professional		$1,148.15	$1,584.89	$2,630.27