Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,715.35 / $8,317.64	Facility		$501.19	$3,715.35	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $457.09 / $1,584.89	Professional		$288.40	$457.09	$1,584.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $912.01	Professional		$512.86	$776.25	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $741.31	Professional		$302.00	$457.09	$741.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $891.25 / $1,000.00	Professional		$707.95	$891.25	$1,000.00
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $630.96 / $1,000.00	Professional		$346.74	$630.96	$1,000.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $19,952.62	Facility		$3,630.78	$3,630.78	$19,952.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,630.27 / $8,317.64	Facility		$645.65	$2,630.27	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $512.86 / $1,479.11	Professional		$288.40	$512.86	$1,479.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $338.84 / $512.86	Facility		$204.17	$338.84	$512.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $575.44	Professional		$316.23	$416.87	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $8,912.51	Facility		$1,348.96	$3,548.13	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $446.68 / $776.25	Professional		$275.42	$446.68	$776.25