Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,760.83 / $14,454.40	Facility		$1,412.54	$6,760.83	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $851.14 / $1,778.28	Professional		$741.31	$851.14	$1,778.28
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,000.00 / $57,543.99	Facility		$8,511.38	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $891.25 / $1,513.56	Professional		$831.76	$891.25	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,659.59	Professional		$707.95	$977.24	$1,659.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,584.89	Professional		$912.01	$1,230.27	$1,584.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,584.89	Professional		$741.31	$1,000.00	$1,584.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,370.32 / $10,715.19	Facility		$1,122.02	$5,370.32	$10,715.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $2,570.40	Professional		$758.58	$1,122.02	$2,570.40
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,698.24	Facility		$1,071.52	$1,071.52	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,737.80	Professional		$1,000.00	$1,148.15	$1,737.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $870.96	Facility		$691.83	$691.83	$870.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $831.76	Professional		$691.83	$691.83	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $39,810.72	Facility		$2,344.23	$4,466.84	$39,810.72
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,548.82	Professional		$676.08	$933.25	$1,548.82