Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $3,981.07	Professional		$1,737.80	$2,884.03	$3,981.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $4,677.35 / $5,248.07	Professional		$524.81	$4,677.35	$5,248.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $45.71 / $64.57	Facility		$9.77	$45.71	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $3,019.95 / $4,466.84	Professional		$1,905.46	$3,019.95	$4,466.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $5,011.87 / $5,128.61	Professional		$4,897.79	$5,011.87	$5,128.61
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $354.81 / $3,388.44	Facility		$190.55	$354.81	$3,388.44
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $398.11 / $2,454.71	Professional		$229.09	$398.11	$2,454.71