Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,495.41 / $8,511.38	Facility		$1,288.25	$5,495.41	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $2,398.83	Professional		$1,000.00	$1,148.15	$2,398.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,202.26 / $2,041.74	Professional		$1,122.02	$1,202.26	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,348.96 / $2,187.76	Professional		$977.24	$1,348.96	$2,187.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,089.30	Professional		$1,202.26	$1,621.81	$2,089.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,187.76	Professional		$1,023.29	$1,348.96	$2,187.76
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 $8,709.64 / $8,709.64 / $8,709.64	Professional		$8,709.64	$8,709.64	$8,709.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,511.38	Facility		$1,047.13	$4,786.30	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,479.11 / $3,311.31	Professional		$1,023.29	$1,479.11	$3,311.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $2,238.72	Facility		$1,548.82	$1,548.82	$2,238.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,513.56 / $2,344.23	Professional		$1,348.96	$1,513.56	$2,344.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,202.26	Facility		$1,096.48	$1,096.48	$1,202.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,096.48 / $1,202.26	Professional		$1,047.13	$1,096.48	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $10,000.00	Facility		$2,137.96	$3,981.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,288.25 / $2,089.30	Professional		$954.99	$1,288.25	$2,089.30