Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,025.60 / $9,549.93	Facility		$1,412.54	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $4,365.16	Professional		$1,023.29	$1,548.82	$4,365.16
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 $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,621.81 / $2,754.23	Professional		$1,096.48	$1,621.81	$2,754.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $2,344.23	Professional		$1,659.59	$2,089.30	$2,344.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,778.28 / $2,398.83	Professional		$1,202.26	$1,778.28	$2,398.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $12,882.50 / $154,881.66	Facility		$4,466.84	$12,882.50	$154,881.66
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,370.32 / $9,549.93	Facility		$1,148.15	$5,370.32	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,737.80 / $3,981.07	Professional		$1,174.90	$1,737.80	$3,981.07
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $3,019.95	Facility		$1,318.26	$1,318.26	$3,019.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,137.96 / $2,818.38	Professional		$1,148.15	$2,137.96	$2,818.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,380.38	Facility		$691.83	$691.83	$1,380.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $1,412.54	Professional		$691.83	$1,258.93	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $18,197.01	Facility		$2,344.23	$4,466.84	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $2,754.23	Professional		$1,047.13	$1,479.11	$2,754.23