Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,370.32 / $8,511.38	Facility		$1,412.54	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $4,073.80	Professional		$1,479.11	$1,659.59	$4,073.80
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 $1,621.81 / $1,659.59 / $3,019.95	Professional		$1,621.81	$1,659.59	$3,019.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $3,235.94	Professional		$1,412.54	$1,905.46	$3,235.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,290.87 / $2,951.21	Professional		$1,737.80	$2,290.87	$2,951.21
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $3,090.30	Professional		$1,412.54	$1,905.46	$3,090.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $27,542.29	Facility		$8,511.38	$8,511.38	$27,542.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,187.76 / $4,897.79	Professional		$1,479.11	$2,187.76	$4,897.79
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $3,311.31	Facility		$1,778.28	$1,778.28	$3,311.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $3,467.37	Professional		$1,584.89	$2,187.76	$3,467.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $3,162.28	Facility		$1,584.89	$1,737.80	$3,162.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,737.80 / $3,162.28	Professional		$1,584.89	$1,737.80	$3,162.28
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 $1,348.96 / $1,819.70 / $3,090.30	Professional		$1,348.96	$1,819.70	$3,090.30