Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,165.95 / $10,471.29	Facility		$1,380.38	$6,165.95	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $1,202.26	Professional		$478.63	$575.44	$1,202.26
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $7,585.78 / $57,543.99	Facility		$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $891.25	Professional		$758.58	$758.58	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $1,071.52	Professional		$467.74	$676.08	$1,071.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,000.00	Professional		$588.84	$794.33	$1,000.00
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,023.29	Professional		$489.78	$660.69	$1,023.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Facility		$10,715.19	$10,715.19	$10,715.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,248.07 / $9,549.93	Facility		$1,047.13	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $724.44 / $1,659.59	Professional		$501.19	$724.44	$1,659.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $1,122.02	Facility		$575.44	$575.44	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,230.27	Professional		$512.86	$724.44	$1,230.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $562.34 / $691.83	Facility		$309.03	$562.34	$691.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $691.83	Professional		$467.74	$537.03	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $18,197.01	Facility		$1,348.96	$3,548.13	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $645.65 / $1,047.13	Professional		$446.68	$645.65	$1,047.13