Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $4,786.30 / $8,317.64	Facility		$758.58	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $2,511.89	Professional		$501.19	$794.33	$2,511.89
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 $676.08 / $794.33 / $1,122.02	Professional		$676.08	$794.33	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $794.33 / $1,479.11	Facility		$489.78	$794.33	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,348.96 / $4,073.80	Professional		$1,122.02	$1,348.96	$4,073.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,023.29 / $1,584.89	Professional		$416.87	$1,023.29	$1,584.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $776.25 / $1,148.15	Professional		$724.44	$776.25	$1,148.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $10,000.00 / $12,589.25	Facility		$3,890.45	$10,000.00	$12,589.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $3,801.89 / $8,317.64	Facility		$831.76	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $2,884.03	Professional		$489.78	$794.33	$2,884.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $776.25	Facility		$691.83	$691.83	$776.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $691.83 / $977.24	Professional		$5.01	$691.83	$977.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $851.14 / $1,047.13	Facility		$741.31	$851.14	$1,047.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,047.13	Professional		$741.31	$912.01	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,630.78 / $17,782.79	Facility		$1,288.25	$3,630.78	$17,782.79
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $794.33 / $1,258.93	Professional		$309.03	$794.33	$1,258.93