Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $2,818.38 / $8,317.64	Facility		$302.00	$2,818.38	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $741.31	Professional		$257.04	$331.13	$741.31
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 $316.23 / $416.87 / $549.54	Professional		$316.23	$416.87	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Facility		$489.78	$489.78	$489.78
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $346.74 / $346.74 / $346.74	Facility	54	$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $588.84	Professional		$257.04	$346.74	$588.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $724.44	Professional		$416.87	$575.44	$724.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $602.56	Professional		$269.15	$407.38	$602.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $416.87 / $1,230.27	Facility		$295.12	$416.87	$1,230.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $380.19	Professional		$302.00	$331.13	$380.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,513.56 / $8,317.64	Facility		$302.00	$1,513.56	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $812.83	Professional		$275.42	$407.38	$812.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $645.65	Facility		$363.08	$363.08	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $467.74 / $676.08	Professional		$302.00	$467.74	$676.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $213.80 / $309.03	Facility		$75.86	$213.80	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $302.00 / $446.68	Professional		$75.86	$302.00	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $676.08 / $3,890.45	Facility		$223.87	$676.08	$3,890.45
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $549.54	Professional		$245.47	$331.13	$549.54