Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,548.13 / $5,754.40	Facility		$1,584.89	$3,548.13	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $1,445.44	Professional		$724.44	$1,047.13	$1,445.44
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 $1,023.29 / $1,023.29 / $1,778.28	Professional		$1,023.29	$1,023.29	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,778.28 / $3,890.45	Facility		$912.01	$1,778.28	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,818.38	Professional		$1,380.38	$1,778.28	$2,818.38
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,445.44 / $2,290.87	Professional		$831.76	$1,445.44	$2,290.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $3,388.44 / $5,754.40	Facility		$1,445.44	$3,388.44	$5,754.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,047.13 / $3,890.45	Professional		$724.44	$1,047.13	$3,890.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,445.44	Facility		$1,318.26	$1,318.26	$1,445.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,445.44	Professional		$1,318.26	$1,318.26	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,548.82	Facility		$1,318.26	$1,318.26	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,548.82	Professional		$467.74	$676.08	$1,548.82