Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,754.23 / $5,623.41	Facility		$831.76	$2,754.23	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $933.25 / $2,754.23	Professional		$309.03	$933.25	$2,754.23
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,623.41 / $7,943.28	Facility		$4,168.69	$5,623.41	$7,943.28
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,905.46	Professional		$912.01	$912.01	$1,905.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,905.46 / $3,981.07	Facility		$1,122.02	$1,905.46	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,230.27 / $2,630.27	Professional		$549.54	$1,230.27	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,513.56 / $2,187.76	Professional		$812.83	$1,513.56	$2,187.76
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,905.46 / $2,951.21	Professional		$1,148.15	$1,905.46	$2,951.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,715.35 / $10,715.19	Facility		$1,122.02	$3,715.35	$10,715.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,884.03 / $5,495.41	Facility		$831.76	$2,884.03	$5,495.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $1,071.52 / $4,073.80	Professional		$309.03	$1,071.52	$4,073.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $257.04 / $1,148.15	Facility		$245.47	$257.04	$1,148.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $257.04 / $1,148.15	Professional		$245.47	$257.04	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,380.38	Facility		$1,148.15	$1,148.15	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,445.44	Professional		$489.78	$691.83	$1,445.44