Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,981.07 / $8,317.64	Facility		$1,047.13	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $549.54 / $1,230.27	Professional		$467.74	$549.54	$1,230.27
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 $524.81 / $549.54 / $933.25	Professional		$524.81	$549.54	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $660.69 / $1,096.48	Professional		$501.19	$660.69	$1,096.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,023.29	Professional		$602.56	$812.83	$1,023.29
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,148.15	Professional		$501.19	$707.95	$1,148.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,818.38 / $8,317.64	Facility		$954.99	$2,818.38	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $724.44 / $1,621.81	Professional		$489.78	$724.44	$1,621.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,071.52	Facility		$812.83	$812.83	$1,071.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $912.01 / $1,096.48	Professional		$794.33	$912.01	$1,096.48
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $794.33	Facility		$407.38	$407.38	$794.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $1,737.80	Professional		$407.38	$407.38	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,000.00	Facility		$2,089.30	$3,981.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,023.29	Professional		$457.09	$630.96	$1,023.29