Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,786.30 / $10,471.29	Facility		$724.44	$4,786.30	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $537.03 / $1,819.70	Professional		$380.19	$537.03	$1,819.70
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 $426.58 / $575.44 / $776.25	Professional		$426.58	$575.44	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $72.44 / $72.44 / $72.44	Facility	AS	$72.44	$72.44	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $831.76	Professional		$398.11	$512.86	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $831.76	Professional		$489.78	$660.69	$831.76
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $870.96	Professional		$407.38	$537.03	$870.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $7,762.47 / $13,182.57	Facility		$2,454.71	$7,762.47	$13,182.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $588.84	Professional		$398.11	$467.74	$588.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $3,890.45 / $10,232.93	Facility		$741.31	$3,890.45	$10,232.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,230.27	Professional		$389.05	$588.84	$1,230.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,412.54	Facility		$851.14	$851.14	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,071.52 / $1,348.96	Professional		$724.44	$1,071.52	$1,348.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $416.87 / $630.96	Facility		$407.38	$416.87	$630.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $630.96	Professional		$398.11	$467.74	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,548.13 / $8,912.51	Facility		$1,659.59	$3,548.13	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $812.83	Professional		$363.08	$489.78	$812.83