Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,677.35 / $8,317.64	Facility		$1,122.02	$4,677.35	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $3,630.78	Professional		$1,202.26	$1,621.81	$3,630.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,332.54 / $13,489.63	Facility		$6,165.95	$9,332.54	$13,489.63
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $3,235.94	Professional		$1,548.82	$1,548.82	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,311.31 / $6,760.83	Facility		$1,949.84	$3,311.31	$6,760.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,137.96 / $4,570.88	Professional		$933.25	$2,137.96	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $3,801.89	Professional		$1,412.54	$2,630.27	$3,801.89
Geisinger 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
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $4,466.84	Professional		$1,513.56	$2,570.40	$4,466.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $2,398.83 / $5,248.07	Facility		$478.63	$2,398.83	$5,248.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $8,317.64	Facility		$1,122.02	$4,168.69	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $7,079.46	Professional		$1,202.26	$1,698.24	$7,079.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,187.76	Facility		$1,862.09	$1,862.09	$2,187.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,995.26 / $2,187.76	Professional		$1,862.09	$1,995.26	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,398.83	Facility		$1,995.26	$1,995.26	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,511.89	Professional		$831.76	$1,202.26	$2,511.89