Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,025.60 / $9,549.93	Facility		$1,412.54	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,737.80	Professional		$724.44	$831.76	$1,737.80
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 $812.83 / $851.14 / $1,445.44	Professional		$812.83	$851.14	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,584.89	Professional		$691.83	$954.99	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,202.26 / $1,548.82	Professional		$891.25	$1,202.26	$1,548.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $1,584.89	Professional		$741.31	$977.24	$1,584.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
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 $741.31 / $1,096.48 / $2,454.71	Professional		$741.31	$1,096.48	$2,454.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,621.81	Facility		$1,071.52	$1,071.52	$1,621.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,122.02 / $1,698.24	Professional		$977.24	$1,122.02	$1,698.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $691.83 / $851.14	Facility		$416.87	$691.83	$851.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $831.76	Professional		$691.83	$691.83	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $22,387.21	Facility		$2,089.30	$3,981.07	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,513.56	Professional		$676.08	$933.25	$1,513.56