Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,715.35 / $8,317.64	Facility		$954.99	$3,715.35	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $3,235.94	Professional		$724.44	$977.24	$3,235.94
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,659.59	Professional		$741.31	$1,000.00	$1,659.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $1,778.28	Professional		$1,258.93	$1,621.81	$1,778.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $1,862.09	Professional		$831.76	$1,258.93	$1,862.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $0.50 / $4,570.88	Facility		$0.50	$0.50	$4,570.88
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $8,317.64	Facility		$912.01	$2,754.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,754.23	Professional		$758.58	$1,096.48	$2,754.23
Oscar Health 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
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $794.33 / $977.24	Facility		$407.38	$794.33	$977.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $812.83 / $977.24	Professional		$407.38	$812.83	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,754.23 / $6,606.93	Facility		$812.83	$2,754.23	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,000.00 / $1,737.80	Professional		$707.95	$1,000.00	$1,737.80