Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,165.95 / $9,549.93	Facility		$1,445.44	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $4,786.30	Professional		$1,819.70	$2,137.96	$4,786.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,235.94	Professional		$3,019.95	$3,019.95	$3,235.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $4,168.69	Professional		$1,621.81	$2,344.23	$4,168.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,311.31 / $4,365.16	Professional		$2,511.89	$3,311.31	$4,365.16
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,630.27 / $3,548.13	Professional		$1,778.28	$2,630.27	$3,548.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $141,253.75 / $141,253.75 / $141,253.75	Facility		$141,253.75	$141,253.75	$141,253.75
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,248.07 / $9,549.93	Facility		$1,122.02	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,691.53 / $6,025.60	Professional		$1,819.70	$2,691.53	$6,025.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $4,265.80	Facility		$2,398.83	$2,398.83	$4,265.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,884.03 / $4,265.80	Professional		$2,187.76	$2,884.03	$4,265.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,187.76	Facility		$2,089.30	$2,089.30	$2,187.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,187.76 / $2,187.76	Professional		$2,089.30	$2,187.76	$2,187.76
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 $1,698.24 / $2,290.87 / $3,981.07	Professional		$1,698.24	$2,290.87	$3,981.07