Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,715.35 / $8,317.64	Facility		$645.65	$3,715.35	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $162.18 / $512.86	Professional		$57.54	$162.18	$512.86
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 $85.11 / $245.47 / $288.40	Professional		$85.11	$245.47	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $186.21 / $371.54	Professional		$64.57	$186.21	$371.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $263.03 / $331.13	Professional		$190.55	$263.03	$331.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $218.78 / $380.19	Professional		$147.91	$218.78	$380.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $6,025.60	Facility		$2,187.76	$3,981.07	$6,025.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,691.53 / $8,317.64	Facility		$724.44	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $208.93 / $630.96	Professional		$61.66	$208.93	$630.96
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $323.59	Facility		$208.93	$208.93	$323.59
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $239.88 / $602.56	Professional		$208.93	$239.88	$602.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $281.84 / $416.87	Facility		$144.54	$281.84	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $281.84 / $416.87	Professional		$57.54	$281.84	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,630.27 / $5,495.41	Facility		$1,000.00	$2,630.27	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $218.78 / $407.38	Professional		$120.23	$218.78	$407.38