Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,370.32 / $8,511.38	Facility		$1,445.44	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $3,715.35	Professional		$1,288.25	$1,445.44	$3,715.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,445.44 / $2,691.53	Professional		$1,412.54	$1,445.44	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $2,818.38	Professional		$1,202.26	$1,698.24	$2,818.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,630.27	Professional		$1,513.56	$2,041.74	$2,630.27
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,691.53	Professional		$1,288.25	$1,698.24	$2,691.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $23,988.33	Facility		$23,988.33	$23,988.33	$23,988.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,570.88 / $8,511.38	Facility		$1,047.13	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $4,265.80	Professional		$1,318.26	$1,905.46	$4,265.80
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,884.03	Facility		$1,698.24	$1,698.24	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,905.46 / $3,090.30	Professional		$1,479.11	$1,905.46	$3,090.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,445.44	Facility		$741.31	$741.31	$1,445.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,348.96 / $1,445.44	Professional		$741.31	$1,348.96	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $18,197.01	Facility		$2,344.23	$4,466.84	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,621.81 / $2,691.53	Professional		$1,174.90	$1,621.81	$2,691.53