Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $4,786.30 / $8,317.64	Facility		$954.99	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $1,047.13	Professional		$323.59	$467.74	$1,047.13
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $489.78 / $891.25	Professional		$478.63	$489.78	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $870.96	Professional		$323.59	$489.78	$870.96
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 $354.81 / $512.86 / $812.83	Professional		$354.81	$512.86	$812.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $4,265.80 / $12,882.50	Facility		$1,621.81	$4,265.80	$12,882.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $363.08 / $489.78	Professional		$331.13	$363.08	$489.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,981.07 / $8,317.64	Facility		$954.99	$3,981.07	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $1,202.26	Professional		$338.84	$524.81	$1,202.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,000.00	Facility		$524.81	$524.81	$1,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $660.69 / $1,071.52	Professional		$512.86	$660.69	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $478.63 / $478.63	Facility		$338.84	$478.63	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $478.63	Professional		$309.03	$467.74	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $8,912.51	Facility		$912.01	$2,754.23	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $812.83	Professional		$331.13	$489.78	$812.83