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 $1,412.54 / $1,659.59 / $4,073.80	Professional		$1,412.54	$1,659.59	$4,073.80
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,311.31	Professional		$1,380.38	$2,089.30	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $2,884.03	Professional		$1,995.26	$2,511.89	$2,884.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,089.30 / $3,019.95	Professional		$1,445.44	$2,089.30	$3,019.95
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 $1,412.54 / $1,949.84 / $5,248.07	Professional		$1,412.54	$1,949.84	$5,248.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $3,235.94	Facility		$2,089.30	$2,089.30	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,818.38 / $3,467.37	Professional		$1,778.28	$2,818.38	$3,467.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,584.89	Facility		$1,380.38	$1,380.38	$1,584.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,698.24	Professional		$1,380.38	$1,513.56	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,365.16 / $10,964.78	Facility		$2,344.23	$4,365.16	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $3,235.94	Professional		$1,513.56	$1,995.26	$3,235.94