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 $1,995.26 / $2,454.71 / $5,495.41	Professional		$1,995.26	$2,454.71	$5,495.41
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 $2,344.23 / $2,454.71 / $4,466.84	Professional		$2,344.23	$2,454.71	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $4,677.35	Professional		$2,041.74	$2,884.03	$4,677.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $4,786.30	Professional		$2,754.23	$3,630.78	$4,786.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $4,466.84	Professional		$2,137.96	$2,884.03	$4,466.84
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 $2,089.30 / $3,090.30 / $6,760.83	Professional		$2,089.30	$3,090.30	$6,760.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $4,677.35	Facility		$2,818.38	$2,818.38	$4,677.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $5,011.87	Professional		$2,290.87	$3,388.44	$5,011.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,290.87 / $2,290.87	Facility		$2,187.76	$2,290.87	$2,290.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,290.87 / $2,454.71	Professional		$2,187.76	$2,290.87	$2,454.71
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 $1,949.84 / $2,754.23 / $4,466.84	Professional		$1,949.84	$2,754.23	$4,466.84