Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,025.60 / $9,549.93	Facility		$1,380.38	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $2,344.23	Professional		$891.25	$1,047.13	$2,344.23
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 $1,380.38 / $1,479.11 / $1,479.11	Professional		$1,380.38	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,621.81 / $7,762.47	Facility		$741.31	$1,621.81	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $1,995.26	Professional		$691.83	$1,122.02	$1,995.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,995.26	Professional		$1,047.13	$1,412.54	$1,995.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,096.48 / $1,737.80	Professional		$912.01	$1,096.48	$1,737.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $26,302.68	Facility		$10,715.19	$10,715.19	$26,302.68
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,128.61 / $9,549.93	Facility		$1,047.13	$5,128.61	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $3,019.95	Professional		$891.25	$1,288.25	$3,019.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $912.01 / $2,041.74	Facility		$831.76	$912.01	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,737.80 / $2,041.74	Professional		$831.76	$1,737.80	$2,041.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $954.99	Facility		$691.83	$691.83	$954.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,023.29	Professional		$691.83	$912.01	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,168.69 / $17,378.01	Facility		$1,584.89	$4,168.69	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,737.80	Professional		$776.25	$1,047.13	$1,737.80