Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,248.07 / $10,232.93	Facility		$1,202.26	$5,248.07	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $549.54 / $1,445.44	Professional		$478.63	$549.54	$1,445.44
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 $537.03 / $562.34 / $954.99	Professional		$537.03	$562.34	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $630.96 / $1,071.52	Professional		$478.63	$630.96	$1,071.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $812.83 / $1,047.13	Professional		$602.56	$812.83	$1,047.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,047.13	Professional		$512.86	$676.08	$1,047.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $10,000.00	Facility		$1,023.29	$4,265.80	$10,000.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $741.31 / $1,698.24	Professional		$489.78	$741.31	$1,698.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,096.48	Facility		$645.65	$645.65	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,122.02	Professional		$645.65	$758.58	$1,122.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $575.44 / $912.01	Facility		$112.20	$575.44	$912.01
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $575.44 / $912.01	Professional		$478.63	$575.44	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,000.00	Facility		$2,089.30	$3,981.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $1,000.00	Professional		$457.09	$616.60	$1,000.00