Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $3,981.07 / $8,317.64	Facility		$1,096.48	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,096.48 / $2,570.40	Professional		$954.99	$1,096.48	$2,570.40
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $2,187.76	Professional		$1,047.13	$1,621.81	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,348.96 / $2,137.96	Professional		$1,000.00	$1,348.96	$2,137.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,548.82 / $1,737.80	Professional		$1,202.26	$1,548.82	$1,737.80
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,348.96 / $2,089.30	Professional		$1,047.13	$1,348.96	$2,089.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,818.38 / $8,317.64	Facility		$954.99	$2,818.38	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,318.26 / $3,019.95	Professional		$954.99	$1,318.26	$3,019.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,137.96	Facility		$1,174.90	$1,174.90	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $2,238.72	Professional		$1,122.02	$1,737.80	$2,238.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,047.13	Facility		$1,023.29	$1,047.13	$1,047.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $1,047.13 / $1,047.13	Professional		$269.15	$1,047.13	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,754.23 / $8,912.51	Facility		$1,000.00	$2,754.23	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,137.96	Professional		$1,000.00	$1,288.25	$2,137.96