Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,023.29 / $1,698.24	Facility		$316.23	$1,023.29	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $323.59 / $389.05	Professional		$100.00	$323.59	$389.05
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 $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $630.96 / $1,380.38	Facility		$275.42	$630.96	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $891.25	Professional		$426.58	$549.54	$891.25
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $309.03 / $724.44	Professional		$123.03	$309.03	$724.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $851.14 / $977.24	Facility		$812.83	$851.14	$977.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $1,023.29 / $1,698.24	Facility		$316.23	$1,023.29	$1,698.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $331.13 / $1,023.29	Professional		$89.13	$331.13	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $446.68 / $446.68	Facility		$407.38	$446.68	$446.68
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $446.68	Professional		$407.38	$407.38	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $489.78	Facility		$407.38	$407.38	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $288.40	Professional		$69.18	$100.00	$288.40