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 $977.24 / $1,148.15 / $2,951.21	Professional		$977.24	$1,148.15	$2,951.21
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 $1,445.44 / $1,584.89 / $1,819.70	Professional		$1,445.44	$1,584.89	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $1,819.70	Facility		$501.19	$794.33	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,258.93 / $2,290.87	Professional		$794.33	$1,258.93	$2,290.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,137.96	Professional		$1,122.02	$1,513.56	$2,137.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,862.09	Professional		$977.24	$1,148.15	$1,862.09
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 $1,000.00 / $1,412.54 / $3,162.28	Professional		$1,000.00	$1,412.54	$3,162.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,148.15 / $2,137.96	Facility		$1,023.29	$1,148.15	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,949.84 / $2,290.87	Professional		$1,023.29	$1,949.84	$2,290.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,047.13	Facility		$933.25	$933.25	$1,047.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,096.48	Professional		$1,000.00	$1,047.13	$1,096.48
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 $891.25 / $1,174.90 / $1,905.46	Professional		$891.25	$1,174.90	$1,905.46