Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $3,890.45 / $3,890.45	Facility		$1,000.00	$3,890.45	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,778.28	Professional		$891.25	$1,096.48	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
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 $1,258.93 / $1,819.70 / $2,290.87	Professional		$1,258.93	$1,819.70	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,570.40	Facility		$1,380.38	$1,380.38	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,380.38	Professional		$1,000.00	$1,000.00	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $4,897.79	Professional		$2,398.83	$3,388.44	$4,897.79
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,290.87	Professional		$1,380.38	$1,584.89	$2,290.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $3,890.45	Facility		$1,000.00	$1,000.00	$3,890.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,122.02 / $1,819.70	Professional		$912.01	$1,122.02	$1,819.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Facility		$4,073.80	$4,073.80	$4,073.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $3,467.37 / $5,011.87	Professional		$0.60	$3,467.37	$5,011.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $2,137.96	Facility		$1,071.52	$1,071.52	$2,137.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $2,187.76	Professional		$1,071.52	$1,071.52	$2,187.76
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $3,311.31	Facility		$912.01	$2,754.23	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,258.93 / $1,995.26	Professional		$954.99	$1,258.93	$1,995.26