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 $1,548.82 / $1,778.28 / $3,548.13	Professional		$1,548.82	$1,778.28	$3,548.13
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 $1,513.56 / $2,238.72 / $3,235.94	Professional		$1,513.56	$2,238.72	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $3,467.37	Professional		$1,513.56	$2,187.76	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,344.23 / $2,570.40	Professional		$1,819.70	$2,344.23	$2,570.40
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $3,311.31	Professional		$1,621.81	$2,187.76	$3,311.31
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 $1,548.82 / $2,089.30 / $5,128.61	Professional		$1,548.82	$2,089.30	$5,128.61
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,548.13	Facility		$2,290.87	$2,290.87	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,754.23 / $3,801.89	Professional		$1,995.26	$2,754.23	$3,801.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,737.80 / $1,737.80	Facility		$1,698.24	$1,737.80	$1,737.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,737.80 / $1,819.70	Professional		$933.25	$1,737.80	$1,819.70
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 $1,479.11 / $1,995.26 / $3,467.37	Professional		$1,479.11	$1,995.26	$3,467.37