Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $8,511.38	Facility		$1,288.25	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $707.95 / $1,584.89	Professional		$588.84	$707.95	$1,584.89
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 $933.25 / $1,023.29 / $1,148.15	Professional		$933.25	$1,023.29	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $776.25 / $1,348.96	Professional		$588.84	$776.25	$1,348.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,122.02 / $1,412.54	Professional		$812.83	$1,122.02	$1,412.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $851.14 / $1,318.26	Professional		$645.65	$851.14	$1,318.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,786.30 / $8,511.38	Facility		$1,023.29	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $891.25 / $1,949.84	Professional		$616.60	$891.25	$1,949.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $1,412.54	Facility		$707.95	$707.95	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $912.01 / $1,412.54	Professional		$776.25	$912.01	$1,412.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $758.58	Facility		$575.44	$575.44	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $758.58	Professional		$575.44	$575.44	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $22,387.21	Facility		$912.01	$2,754.23	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,174.90	Professional		$562.34	$741.31	$1,174.90