Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,165.95 / $9,549.93	Facility		$1,288.25	$6,165.95	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $912.01 / $1,905.46	Professional		$812.83	$912.01	$1,905.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $57,543.99	Facility		$14,125.38	$14,125.38	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $954.99 / $1,621.81	Professional		$891.25	$954.99	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,778.28	Professional		$794.33	$1,071.52	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $1,698.24	Professional		$1,000.00	$1,318.26	$1,698.24
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,096.48 / $1,778.28	Professional		$831.76	$1,096.48	$1,778.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,370.32 / $9,549.93	Facility		$1,047.13	$5,370.32	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,202.26 / $2,630.27	Professional		$831.76	$1,202.26	$2,630.27
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,819.70	Facility		$1,230.27	$1,230.27	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,230.27 / $1,819.70	Professional		$1,122.02	$1,230.27	$1,819.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $977.24 / $977.24	Facility		$870.96	$977.24	$977.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $891.25 / $977.24	Professional		$851.14	$891.25	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $22,387.21	Facility		$2,454.71	$5,495.41	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,698.24	Professional		$776.25	$1,047.13	$1,698.24