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 $1,380.38 / $1,659.59 / $4,168.69	Professional		$1,380.38	$1,659.59	$4,168.69
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 $2,290.87 / $2,290.87 / $2,454.71	Professional		$2,290.87	$2,290.87	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,949.84 / $3,162.28	Professional		$1,380.38	$1,949.84	$3,162.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,511.89 / $3,311.31	Professional		$1,905.46	$2,511.89	$3,311.31
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,995.26 / $3,019.95	Professional		$1,445.44	$1,995.26	$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 / $2,137.96 / $4,570.88	Professional		$1,412.54	$2,137.96	$4,570.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $3,235.94	Facility		$1,995.26	$1,995.26	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,344.23 / $3,388.44	Professional		$1,698.24	$2,344.23	$3,388.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,621.81	Facility		$1,584.89	$1,584.89	$1,621.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,584.89 / $1,659.59	Professional		$1,479.11	$1,584.89	$1,659.59
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 $1,348.96 / $1,862.09 / $3,019.95	Professional		$1,348.96	$1,862.09	$3,019.95