Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,548.13 / $8,317.64	Facility		$602.56	$3,548.13	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $954.99	Professional		$309.03	$489.78	$954.99
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,248.07 / $57,543.99	Facility		$5,011.87	$5,248.07	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $549.54	Professional		$512.86	$512.86	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $537.03 / $933.25	Professional		$363.08	$537.03	$933.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,122.02	Professional		$645.65	$891.25	$1,122.02
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $912.01	Professional		$295.12	$562.34	$912.01
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,309.57 / $42,657.95	Facility		$5,011.87	$6,309.57	$42,657.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $389.05 / $407.38	Professional		$218.78	$389.05	$407.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,630.27 / $8,317.64	Facility		$724.44	$2,630.27	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $562.34 / $1,288.25	Professional		$338.84	$562.34	$1,288.25
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,096.48	Facility		$524.81	$524.81	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $660.69 / $1,148.15	Professional		$549.54	$660.69	$1,148.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $407.38 / $512.86	Facility		$354.81	$407.38	$512.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $407.38 / $524.81	Professional		$346.74	$407.38	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,000.00	Facility		$1,348.96	$3,548.13	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $524.81 / $870.96	Professional		$346.74	$524.81	$870.96