Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,801.89 / $8,317.64	Facility		$724.44	$3,801.89	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $1,698.24	Professional		$380.19	$501.19	$1,698.24
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $912.01	Professional		$407.38	$537.03	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $891.25	Professional		$512.86	$691.83	$891.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $891.25	Professional		$407.38	$549.54	$891.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,235.94 / $9,549.93	Facility		$1,995.26	$3,235.94	$9,549.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $467.74 / $3,311.31	Professional		$457.09	$467.74	$3,311.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $3,090.30 / $8,317.64	Facility		$724.44	$3,090.30	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,513.56	Professional		$407.38	$616.60	$1,513.56
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $933.25	Facility		$660.69	$660.69	$933.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $933.25	Professional		$676.08	$794.33	$933.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $707.95	Facility		$407.38	$407.38	$707.95
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $707.95	Professional		$407.38	$407.38	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,630.27 / $5,754.40	Facility		$912.01	$2,630.27	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $831.76	Professional		$380.19	$512.86	$831.76