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 $1,071.52 / $1,288.25 / $2,691.53	Professional		$1,071.52	$1,288.25	$2,691.53
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 $1,071.52 / $1,548.82 / $2,238.72	Professional		$1,071.52	$1,548.82	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,398.83	Professional		$1,122.02	$1,513.56	$2,398.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $1,819.70	Professional		$1,288.25	$1,659.59	$1,819.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,344.23	Professional		$1,122.02	$1,479.11	$2,344.23
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 $1,096.48 / $1,548.82 / $3,467.37	Professional		$1,096.48	$1,548.82	$3,467.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,398.83	Facility		$1,698.24	$1,698.24	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,862.09 / $2,511.89	Professional		$1,380.38	$1,862.09	$2,511.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $3,548.13	Facility		$1,479.11	$1,479.11	$3,548.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $3,548.13	Professional		$1,479.11	$1,479.11	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $6,760.83	Facility		$660.69	$2,570.40	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,454.71	Professional		$1,047.13	$1,380.38	$2,454.71