Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,495.41 / $8,511.38	Facility		$1,445.44	$5,495.41	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $4,365.16	Professional		$1,380.38	$1,584.89	$4,365.16
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 $1,548.82 / $1,584.89 / $2,951.21	Professional		$1,548.82	$1,584.89	$2,951.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $3,019.95	Professional		$1,348.96	$1,819.70	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $2,818.38	Professional		$1,659.59	$2,238.72	$2,818.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,951.21	Professional		$1,348.96	$1,819.70	$2,951.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $19,054.61 / $33,113.11	Facility		$5,011.87	$19,054.61	$33,113.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,511.38	Facility		$1,047.13	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,089.30 / $4,897.79	Professional		$1,412.54	$2,089.30	$4,897.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $3,162.28	Facility		$1,698.24	$1,698.24	$3,162.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,089.30 / $3,235.94	Professional		$1,513.56	$2,089.30	$3,235.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,548.82 / $3,981.07	Facility		$1,513.56	$1,548.82	$3,981.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,584.89 / $3,981.07	Professional		$1,513.56	$1,584.89	$3,981.07
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 $1,258.93 / $1,778.28 / $2,951.21	Professional		$1,258.93	$1,778.28	$2,951.21