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 $2,137.96 / $2,570.40 / $5,888.44	Professional		$2,137.96	$2,570.40	$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 $2,511.89 / $2,630.27 / $4,677.35	Professional		$2,511.89	$2,630.27	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $5,011.87	Professional		$2,137.96	$3,019.95	$5,011.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,801.89 / $5,011.87	Professional		$2,884.03	$3,801.89	$5,011.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,162.28 / $7,943.28	Professional		$2,398.83	$3,162.28	$7,943.28
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 $2,238.72 / $3,235.94 / $7,079.46	Professional		$2,238.72	$3,235.94	$7,079.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $5,011.87	Facility		$2,884.03	$2,884.03	$5,011.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,630.78 / $5,011.87	Professional		$2,511.89	$3,630.78	$5,011.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $2,454.71	Facility		$2,344.23	$2,454.71	$2,454.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $2,630.27	Professional		$2,344.23	$2,454.71	$2,630.27
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 $2,089.30 / $2,951.21 / $4,786.30	Professional		$2,089.30	$2,951.21	$4,786.30