Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $6,025.60 / $9,549.93	Facility		$1,288.25	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,778.28	Professional		$645.65	$870.96	$1,778.28
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 $676.08 / $1,000.00 / $1,380.38	Professional		$676.08	$1,000.00	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $912.01 / $1,513.56	Professional		$616.60	$912.01	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,096.48 / $1,202.26	Professional		$851.14	$1,096.48	$1,202.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $1,445.44	Professional		$676.08	$954.99	$1,445.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,248.07 / $9,549.93	Facility		$1,047.13	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $2,290.87	Professional		$741.31	$977.24	$2,290.87
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $1,698.24	Facility		$812.83	$812.83	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,258.93 / $1,584.89	Professional		$741.31	$1,258.93	$1,584.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $691.83 / $776.25	Facility		$575.44	$691.83	$776.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $691.83 / $831.76	Professional		$575.44	$691.83	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,630.27 / $5,495.41	Facility		$912.01	$2,630.27	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $831.76 / $1,513.56	Professional		$602.56	$831.76	$1,513.56