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 $562.34 / $660.69 / $1,288.25	Professional		$562.34	$660.69	$1,288.25
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 $676.08 / $891.25 / $977.24	Professional		$676.08	$891.25	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,258.93	Professional		$457.09	$691.83	$1,258.93
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 $446.68 / $741.31 / $1,023.29	Professional		$446.68	$741.31	$1,023.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Facility		$2,818.38	$2,818.38	$2,818.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,090.30 / $8,317.64	Facility		$954.99	$3,090.30	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $1,862.09	Professional		$588.84	$870.96	$1,862.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,288.25	Facility		$724.44	$724.44	$1,288.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $891.25 / $1,318.26	Professional		$776.25	$891.25	$1,318.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $741.31	Facility		$416.87	$416.87	$741.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $602.56 / $660.69	Professional		$416.87	$602.56	$660.69
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 $467.74 / $691.83 / $1,174.90	Professional		$467.74	$691.83	$1,174.90