Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,548.13 / $8,317.64	Facility		$575.44	$3,548.13	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $549.54 / $1,071.52	Professional		$457.09	$549.54	$1,071.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,258.93 / $57,543.99	Facility		$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $575.44 / $954.99	Professional		$549.54	$575.44	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Facility		$851.14	$851.14	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $1,023.29	Professional		$436.52	$602.56	$1,023.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $977.24 / $1,230.27	Professional		$724.44	$977.24	$1,230.27
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $1,096.48	Professional		$478.63	$724.44	$1,096.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,570.40 / $8,317.64	Facility		$645.65	$2,570.40	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $1,513.56	Professional		$478.63	$707.95	$1,513.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,122.02	Facility		$630.96	$630.96	$1,122.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,174.90	Professional		$575.44	$794.33	$1,174.90
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $467.74 / $537.03	Facility		$416.87	$467.74	$537.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $549.54	Professional		$416.87	$478.63	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,621.81 / $5,128.61	Facility		$223.87	$1,621.81	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $977.24	Professional		$436.52	$588.84	$977.24