Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,786.30 / $8,317.64	Facility		$1,202.26	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $2,511.89	Professional		$1,071.52	$1,230.27	$2,511.89
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 $1,230.27 / $1,288.25 / $2,238.72	Professional		$1,230.27	$1,288.25	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,398.83	Professional		$1,047.13	$1,445.44	$2,398.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $2,290.87	Professional		$1,348.96	$1,778.28	$2,290.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,290.87	Professional		$1,071.52	$1,445.44	$2,290.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $19,054.61 / $19,054.61	Facility		$19,054.61	$19,054.61	$19,054.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $8,317.64	Facility		$1,023.29	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,584.89 / $3,630.78	Professional		$1,096.48	$1,584.89	$3,630.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $2,398.83	Facility		$1,513.56	$1,513.56	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,659.59 / $2,570.40	Professional		$1,288.25	$1,659.59	$2,570.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,202.26	Facility		$1,071.52	$1,071.52	$1,202.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $1,258.93	Professional		$1,071.52	$1,202.26	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,162.28 / $5,754.40	Facility		$1,348.96	$3,162.28	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,290.87	Professional		$1,023.29	$1,348.96	$2,290.87