Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $3,090.30 / $8,317.64	Facility		$501.19	$3,090.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $933.25	Professional		$398.11	$478.63	$933.25
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $831.76	Professional		$478.63	$501.19	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	54	$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $537.03 / $891.25	Professional		$398.11	$537.03	$891.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,096.48	Professional		$645.65	$870.96	$1,096.48
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $977.24	Professional		$426.58	$645.65	$977.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,691.53 / $8,317.64	Facility		$891.25	$2,691.53	$8,317.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,454.71 / $8,317.64	Facility		$630.96	$2,454.71	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $1,288.25	Professional		$416.87	$602.56	$1,288.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $977.24	Facility		$588.84	$588.84	$977.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $1,023.29	Professional		$575.44	$707.95	$1,023.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $426.58 / $501.19	Facility		$309.03	$426.58	$501.19
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $426.58 / $478.63	Professional		$407.38	$426.58	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,162.28 / $5,754.40	Facility		$1,659.59	$3,162.28	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $851.14	Professional		$389.05	$524.81	$851.14