Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,570.40 / $8,317.64	Facility		$776.25	$2,570.40	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $616.60 / $3,235.94 / $9,120.11	Facility	50	$616.60	$3,235.94	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $537.03 / $1,584.89	Professional		$416.87	$537.03	$1,584.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $954.99	Professional		$537.03	$794.33	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,122.02	Professional		$446.68	$645.65	$1,122.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $891.25	Professional		$616.60	$794.33	$891.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $676.08 / $954.99	Professional		$457.09	$676.08	$954.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,819.70 / $7,585.78	Facility		$1,230.27	$1,819.70	$7,585.78
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $7,585.78 / $7,585.78 / $20,892.96	Facility	50	$7,585.78	$7,585.78	$20,892.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,089.30 / $8,317.64	Facility		$724.44	$2,089.30	$8,317.64
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $616.60 / $3,801.89 / $9,120.11	Facility	50	$616.60	$3,801.89	$9,120.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $691.83 / $1,584.89	Professional		$446.68	$691.83	$1,584.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,122.02	Facility		$512.86	$512.86	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $912.01 / $1,071.52	Professional		$478.63	$912.01	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $537.03	Facility		$309.03	$309.03	$537.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $549.54	Professional		$309.03	$416.87	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $12,022.64	Facility		$2,089.30	$3,981.07	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $1,000.00	Professional		$389.05	$549.54	$1,000.00