Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,128.61 / $11,220.18	Facility		$1,258.93	$5,128.61	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,288.25 / $3,019.95	Professional		$1,096.48	$1,288.25	$3,019.95
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $10,000.00 / $57,543.99	Facility		$8,511.38	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,548.82 / $2,238.72	Professional		$1,230.27	$1,548.82	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,454.71	Professional		$1,047.13	$1,479.11	$2,454.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,819.70 / $2,344.23	Professional		$1,348.96	$1,819.70	$2,344.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,398.83	Professional		$1,122.02	$1,513.56	$2,398.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $20,417.38 / $26,915.35	Facility		$6,165.95	$20,417.38	$26,915.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,659.59 / $1,737.80	Professional		$1,479.11	$1,659.59	$1,737.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,265.80 / $11,220.18	Facility		$1,096.48	$4,265.80	$11,220.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $3,548.13	Professional		$1,122.02	$1,698.24	$3,548.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,511.89	Facility		$1,412.54	$1,412.54	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,698.24 / $2,630.27	Professional		$1,288.25	$1,698.24	$2,630.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,621.81	Facility		$478.63	$478.63	$1,621.81
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,148.15 / $1,258.93	Professional		$478.63	$1,148.15	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,495.41 / $39,810.72	Facility		$2,454.71	$5,495.41	$39,810.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $2,344.23	Professional		$1,047.13	$1,412.54	$2,344.23