Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,786.30 / $8,317.64	Facility		$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $954.99 / $2,344.23	Professional		$724.44	$954.99	$2,344.23
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 $1,122.02 / $1,348.96 / $1,513.56	Professional		$1,122.02	$1,348.96	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,698.24	Professional		$707.95	$1,047.13	$1,698.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,318.26	Professional		$933.25	$1,202.26	$1,318.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $1,621.81	Professional		$758.58	$1,047.13	$1,621.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $8,317.64	Facility		$954.99	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $2,454.71	Professional		$812.83	$1,096.48	$2,454.71
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $1,819.70	Facility		$977.24	$977.24	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,380.38 / $1,778.28	Professional		$851.14	$1,380.38	$1,778.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $776.25 / $2,398.83	Facility		$478.63	$776.25	$2,398.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $2,398.83	Professional		$478.63	$776.25	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $9,772.37	Facility		$2,089.30	$3,981.07	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,659.59	Professional		$676.08	$912.01	$1,659.59