Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $6,165.95 / $10,471.29	Facility		$1,445.44	$6,165.95	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $2,951.21	Professional		$1,380.38	$1,584.89	$2,951.21
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,884.03	Professional		$1,548.82	$2,089.30	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,905.46 / $3,090.30	Professional		$1,445.44	$1,905.46	$3,090.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $2,818.38	Professional		$1,621.81	$2,187.76	$2,818.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,737.80 / $2,818.38	Professional		$1,318.26	$1,737.80	$2,818.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $10,471.29	Facility		$1,122.02	$5,370.32	$10,471.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,041.74 / $4,570.88	Professional		$1,412.54	$2,041.74	$4,570.88
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $3,467.37	Professional		$2,041.74	$2,884.03	$3,467.37
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,513.56	Facility		$1,412.54	$1,412.54	$1,513.56
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,513.56 / $1,584.89	Professional		$1,258.93	$1,513.56	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,128.31 / $39,810.72	Facility		$3,311.31	$8,128.31	$39,810.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,862.09 / $3,019.95	Professional		$1,348.96	$1,862.09	$3,019.95