Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,165.95 / $9,549.93	Facility		$1,288.25	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $707.95 / $1,621.81	Professional		$602.56	$707.95	$1,621.81
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $57,543.99	Facility		$14,125.38	$14,125.38	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,000.00 / $1,000.00	Professional		$933.25	$1,000.00	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $794.33 / $1,122.02	Facility		$691.83	$794.33	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $758.58 / $1,380.38	Professional		$537.03	$758.58	$1,380.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,288.25	Professional		$691.83	$933.25	$1,288.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,258.93	Professional		$630.96	$776.25	$1,258.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,370.32 / $9,549.93	Facility		$1,047.13	$5,370.32	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $2,041.74	Professional		$616.60	$891.25	$2,041.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $794.33 / $1,348.96	Facility		$707.95	$794.33	$1,348.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,174.90 / $1,412.54	Professional		$707.95	$1,174.90	$1,412.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $831.76	Facility		$645.65	$645.65	$831.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $645.65 / $676.08	Professional		$128.82	$645.65	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,011.87 / $17,782.79	Facility		$1,819.70	$5,011.87	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $707.95 / $1,174.90	Professional		$549.54	$707.95	$1,174.90