Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,754.40 / $8,511.38	Facility		$1,047.13	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,290.87 / $5,248.07	Professional		$1,862.09	$2,290.87	$5,248.07
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $21,379.62 / $57,543.99	Facility		$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Professional		$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,511.89 / $3,981.07	Professional		$1,737.80	$2,511.89	$3,981.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $3,090.30	Professional		$2,187.76	$2,818.38	$3,090.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $3,890.45	Professional		$1,819.70	$2,454.71	$3,890.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility		$11,481.54	$11,481.54	$11,481.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $8,317.64	Facility		$1,023.29	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,454.71 / $6,025.60	Professional		$1,905.46	$2,454.71	$6,025.60
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $4,168.69	Facility		$2,137.96	$2,137.96	$4,168.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $3,162.28 / $4,466.84	Professional		$1,995.26	$3,162.28	$4,466.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,995.26 / $2,137.96	Professional		$1,949.84	$1,995.26	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $6,760.83	Facility		$660.69	$2,570.40	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $4,073.80	Professional		$1,621.81	$2,187.76	$4,073.80