Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,754.40 / $8,511.38	Facility		$831.76	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $812.83 / $1,584.89	Professional		$676.08	$812.83	$1,584.89
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 $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,584.89	Professional		$724.44	$977.24	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,202.26	Professional		$851.14	$1,071.52	$1,202.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,513.56	Professional		$741.31	$977.24	$1,513.56
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $2,344.23	Professional		$691.83	$933.25	$2,344.23
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,621.81	Facility		$977.24	$977.24	$1,621.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,230.27 / $1,659.59	Professional		$870.96	$1,230.27	$1,659.59
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
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 $707.95 / $933.25 / $1,584.89	Professional		$707.95	$933.25	$1,584.89