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 $1,148.15 / $1,380.38 / $2,884.03	Professional		$1,148.15	$1,380.38	$2,884.03
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 $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,570.40	Professional		$1,202.26	$1,621.81	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $1,949.84	Professional		$1,380.38	$1,778.28	$1,949.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,584.89 / $2,511.89	Professional		$1,230.27	$1,584.89	$2,511.89
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 $1,174.90 / $1,621.81 / $4,073.80	Professional		$1,174.90	$1,621.81	$4,073.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,570.40	Facility		$1,819.70	$1,819.70	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,691.53	Professional		$1,584.89	$1,995.26	$2,691.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $1,513.56	Facility		$537.03	$537.03	$1,513.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $1,318.26	Professional		$537.03	$537.03	$1,318.26
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 $1,122.02 / $1,513.56 / $2,630.27	Professional		$1,122.02	$1,513.56	$2,630.27