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 / $8,709.64	Facility		$1,047.13	$5,754.40	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $5,888.44	Professional		$1,905.46	$2,238.72	$5,888.44
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 / $2,884.03 / $4,073.80	Professional		$1,949.84	$2,884.03	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $4,466.84	Professional		$2,089.30	$2,818.38	$4,466.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,388.44 / $3,890.45	Professional		$2,691.53	$3,388.44	$3,890.45
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $4,365.16	Professional		$2,089.30	$2,818.38	$4,365.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,511.38	Facility		$1,023.29	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $7,079.46	Professional		$1,905.46	$2,691.53	$7,079.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,981.07 / $4,677.35	Professional		$3,162.28	$3,981.07	$4,677.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,238.72 / $2,238.72	Facility		$2,137.96	$2,238.72	$2,238.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,187.76 / $2,290.87	Professional		$2,041.74	$2,187.76	$2,290.87
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 $2,041.74 / $2,691.53 / $4,365.16	Professional		$2,041.74	$2,691.53	$4,365.16