Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,174.90 / $1,258.93	Professional		$562.34	$1,174.90	$1,258.93
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,122.02 / $5,011.87	Facility		$954.99	$1,122.02	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $389.05 / $457.09	Professional		$154.88	$389.05	$457.09
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $223.87	Professional		$120.23	$162.18	$223.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $1,174.90 / $1,230.27	Professional		$562.34	$1,174.90	$1,230.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $229.09 / $245.47	Professional		$0.60	$229.09	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $407.38 / $1,348.96	Facility		$288.40	$407.38	$1,348.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $309.03 / $1,348.96	Professional		$128.82	$309.03	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $954.99 / $1,202.26	Professional		$125.89	$954.99	$1,202.26