Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $5,370.32 / $8,709.64	Facility		$741.31	$5,370.32	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $776.25 / $1,862.09	Professional		$630.96	$776.25	$1,862.09
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 $977.24 / $1,047.13 / $1,148.15	Professional		$977.24	$1,047.13	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $1,230.27	Facility		$501.19	$794.33	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,479.11	Professional		$562.34	$812.83	$1,479.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,380.38	Professional		$741.31	$1,023.29	$1,380.38
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,230.27	Professional		$630.96	$758.58	$1,230.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $4,073.80	Facility		$933.25	$933.25	$4,073.80
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $4,786.30 / $8,709.64	Facility		$741.31	$4,786.30	$8,709.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $954.99 / $2,041.74	Professional		$630.96	$954.99	$2,041.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $676.08 / $1,412.54	Facility		$616.60	$676.08	$1,412.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,202.26 / $1,445.44	Professional		$616.60	$1,202.26	$1,445.44
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $831.76 / $933.25	Facility		$602.56	$831.76	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $933.25	Professional		$676.08	$831.76	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $2,089.30 / $6,309.57	Facility		$316.23	$2,089.30	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,230.27	Professional		$575.44	$758.58	$1,230.27