Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,981.07 / $8,317.64	Facility		$1,096.48	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $2,691.53	Professional		$1,023.29	$1,202.26	$2,691.53
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 $1,174.90 / $1,230.27 / $2,187.76	Professional		$1,174.90	$1,230.27	$2,187.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,290.87	Professional		$1,047.13	$1,445.44	$2,290.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,187.76	Professional		$1,258.93	$1,698.24	$2,187.76
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $2,290.87	Professional		$1,071.52	$1,412.54	$2,290.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,818.38 / $8,317.64	Facility		$954.99	$2,818.38	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $3,467.37	Professional		$1,071.52	$1,548.82	$3,467.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $2,398.83	Facility		$1,479.11	$1,479.11	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $2,344.23	Professional		$1,318.26	$1,584.89	$2,344.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $588.84 / $1,202.26	Facility		$416.87	$588.84	$1,202.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $588.84 / $1,202.26	Professional		$416.87	$588.84	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,890.45 / $6,456.54	Facility		$2,089.30	$3,890.45	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $2,238.72	Professional		$977.24	$1,412.54	$2,238.72