Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,570.40 / $8,317.64	Facility		$537.03	$2,570.40	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $436.52 / $1,023.29	Professional		$363.08	$436.52	$1,023.29
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $457.09 / $776.25	Professional		$446.68	$457.09	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $489.78 / $831.76	Professional		$354.81	$489.78	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $794.33 / $1,000.00	Professional		$575.44	$794.33	$1,000.00
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $851.14	Professional		$371.54	$575.44	$851.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,398.83 / $5,495.41	Facility		$1,995.26	$2,398.83	$5,495.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $2,089.30 / $7,762.47	Facility		$537.03	$2,089.30	$7,762.47
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $562.34 / $1,258.93	Professional		$380.19	$562.34	$1,258.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $912.01	Facility		$512.86	$512.86	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $512.86 / $933.25	Professional		$478.63	$512.86	$933.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $363.08 / $1,445.44	Facility		$309.03	$363.08	$1,445.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $363.08 / $1,445.44	Professional		$309.03	$363.08	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,621.81 / $5,128.61	Facility		$223.87	$1,621.81	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $776.25	Professional		$346.74	$467.74	$776.25