Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $5,128.61 / $10,232.93	Facility		$1,202.26	$5,128.61	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,584.89	Professional		$676.08	$794.33	$1,584.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $794.33 / $1,380.38	Professional		$758.58	$794.33	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Facility		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,513.56	Professional		$660.69	$891.25	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,148.15 / $1,479.11	Professional		$851.14	$1,148.15	$1,479.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $933.25 / $1,513.56	Professional		$691.83	$933.25	$1,513.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $14,791.08 / $17,378.01	Facility		$13,182.57	$14,791.08	$17,378.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
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 $691.83 / $1,047.13 / $2,454.71	Professional		$691.83	$1,047.13	$2,454.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $1,548.82	Facility		$933.25	$933.25	$1,548.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $1,621.81	Professional		$851.14	$1,071.52	$1,621.81
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $741.31	Facility		$467.74	$467.74	$741.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $489.78 / $741.31	Professional		$467.74	$489.78	$741.31
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 $645.65 / $870.96 / $1,412.54	Professional		$645.65	$870.96	$1,412.54