Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,918.31 / $12,882.50	Facility		$1,288.25	$6,918.31	$12,882.50
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	52	$1,174.90	$1,174.90	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $4,265.80	Professional		$912.01	$1,258.93	$4,265.80
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 $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $1,995.26	Professional		$851.14	$1,230.27	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $1,584.89	Professional		$1,122.02	$1,412.54	$1,584.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,949.84	Professional		$912.01	$1,230.27	$1,949.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $12,589.25 / $19,952.62	Facility		$3,890.45	$12,589.25	$19,952.62
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $8,128.31 / $8,128.31 / $11,481.54	Facility	52	$8,128.31	$8,128.31	$11,481.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,165.95 / $12,882.50	Facility		$1,288.25	$6,165.95	$12,882.50
Martin's Point Facility/Professional Facility Modifier 52 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	52	$1,174.90	$1,174.90	$1,174.90
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $3,311.31	Professional		$954.99	$1,412.54	$3,311.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,137.96	Facility		$1,174.90	$1,174.90	$2,137.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,621.81 / $2,137.96	Professional		$954.99	$1,621.81	$2,137.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $1,000.00	Facility		$724.44	$724.44	$1,000.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $812.83 / $1,023.29	Professional		$724.44	$812.83	$1,023.29
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 $794.33 / $1,096.48 / $1,949.84	Professional		$794.33	$1,096.48	$1,949.84