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 $1,096.48 / $1,288.25 / $2,691.53	Professional		$1,096.48	$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 $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,584.89 / $2,570.40	Professional		$1,122.02	$1,584.89	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,137.96	Professional		$1,513.56	$1,949.84	$2,137.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,511.89	Professional		$1,174.90	$1,621.81	$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 $1,122.02 / $1,513.56 / $3,548.13	Professional		$1,122.02	$1,513.56	$3,548.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,630.27	Facility		$1,737.80	$1,737.80	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,137.96 / $2,691.53	Professional		$1,445.44	$2,137.96	$2,691.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,412.54 / $1,412.54	Facility		$1,258.93	$1,412.54	$1,412.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,288.25 / $1,412.54	Professional		$1,230.27	$1,288.25	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,309.57 / $11,220.18	Facility		$3,311.31	$6,309.57	$11,220.18
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,511.89	Professional		$1,122.02	$1,479.11	$2,511.89