Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,786.30 / $8,317.64	Facility		$1,202.26	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,548.82 / $3,548.13	Professional		$1,288.25	$1,548.82	$3,548.13
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 $1,548.82 / $1,584.89 / $2,630.27	Professional		$1,548.82	$1,584.89	$2,630.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $3,019.95	Professional		$1,288.25	$1,778.28	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,398.83 / $3,162.28	Professional		$1,819.70	$2,398.83	$3,162.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,905.46 / $2,691.53	Professional		$1,380.38	$1,905.46	$2,691.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $8,317.64	Facility		$1,023.29	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $4,365.16	Professional		$1,318.26	$1,949.84	$4,365.16
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,090.30	Facility		$1,737.80	$1,737.80	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,951.21	Professional		$1,548.82	$2,089.30	$2,951.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,479.11	Facility		$478.63	$478.63	$1,479.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,380.38 / $1,513.56	Professional		$478.63	$1,380.38	$1,513.56
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 $1,258.93 / $1,778.28 / $2,754.23	Professional		$1,258.93	$1,778.28	$2,754.23