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 $2,041.74 / $2,454.71 / $5,128.61	Professional		$2,041.74	$2,454.71	$5,128.61
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 $3,235.94 / $3,467.37 / $3,467.37	Professional		$3,235.94	$3,467.37	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $3,890.45	Facility		$489.78	$794.33	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $4,570.88	Professional		$1,698.24	$2,511.89	$4,570.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,235.94 / $4,466.84	Professional		$2,398.83	$3,235.94	$4,466.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,344.23 / $3,715.35	Professional		$1,905.46	$2,344.23	$3,715.35
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 $1,995.26 / $2,951.21 / $6,606.93	Professional		$1,995.26	$2,951.21	$6,606.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,041.74 / $4,677.35	Facility		$1,905.46	$2,041.74	$4,677.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,801.89 / $4,570.88	Professional		$1,905.46	$3,801.89	$4,570.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,238.72 / $2,238.72	Facility		$1,819.70	$2,238.72	$2,238.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,290.87 / $2,344.23	Professional		$2,137.96	$2,290.87	$2,344.23
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 $1,819.70 / $2,398.83 / $3,981.07	Professional		$1,819.70	$2,398.83	$3,981.07