Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,248.07 / $8,511.38	Facility		$1,445.44	$5,248.07	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,412.54 / $3,019.95	Professional		$1,230.27	$1,412.54	$3,019.95
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 $1,949.84 / $1,949.84 / $2,089.30	Professional		$1,949.84	$1,949.84	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,584.89 / $2,691.53	Professional		$1,148.15	$1,584.89	$2,691.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,691.53	Professional		$1,548.82	$2,089.30	$2,691.53
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $2,511.89	Professional		$1,258.93	$1,698.24	$2,511.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.50 / $1,995.26 / $13,489.63	Facility		$0.50	$1,995.26	$13,489.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,265.80 / $8,511.38	Facility		$1,047.13	$4,265.80	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,819.70 / $3,981.07	Professional		$1,288.25	$1,819.70	$3,981.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $2,884.03	Facility		$1,148.15	$1,148.15	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,479.11 / $2,754.23	Professional		$912.01	$1,479.11	$2,754.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,348.96	Facility		$588.84	$588.84	$1,348.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,047.13 / $1,380.38	Professional		$588.84	$1,047.13	$1,380.38
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 $1,148.15 / $1,513.56 / $2,511.89	Professional		$1,148.15	$1,513.56	$2,511.89