Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,317.64	Facility		$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $724.44 / $1,412.54	Professional		$630.96	$724.44	$1,412.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $57,543.99	Facility		$3,801.89	$3,801.89	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $1,071.52	Professional		$977.24	$977.24	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $758.58 / $1,380.38	Professional		$407.38	$758.58	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,318.26	Professional		$758.58	$1,023.29	$1,318.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $794.33 / $1,071.52	Professional		$446.68	$794.33	$1,071.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
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 $645.65 / $891.25 / $1,995.26	Professional		$645.65	$891.25	$1,995.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,412.54	Facility		$588.84	$588.84	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $758.58 / $1,513.56	Professional		$562.34	$758.58	$1,513.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $630.96 / $676.08	Facility		$478.63	$630.96	$676.08
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $724.44	Professional		$407.38	$630.96	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $8,912.51	Facility		$912.01	$2,754.23	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $741.31 / $1,318.26	Professional		$467.74	$741.31	$1,318.26