Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,370.32 / $8,511.38	Facility		$1,047.13	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,995.26 / $4,466.84	Professional		$1,659.59	$1,995.26	$4,466.84
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 $2,570.40 / $2,754.23 / $2,754.23	Professional		$2,570.40	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $3,090.30	Facility		$501.19	$794.33	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,137.96 / $3,981.07	Professional		$1,348.96	$2,137.96	$3,981.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,311.31	Professional		$1,737.80	$2,344.23	$3,311.31
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,905.46 / $3,019.95	Professional		$1,659.59	$1,905.46	$3,019.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,398.83 / $5,495.41	Professional		$1,659.59	$2,398.83	$5,495.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $2,137.96 / $3,715.35	Facility		$1,819.70	$2,137.96	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,884.03 / $3,981.07	Professional		$1,819.70	$2,884.03	$3,981.07
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,778.28	Facility		$1,737.80	$1,737.80	$1,778.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,778.28 / $1,862.09	Professional		$1,698.24	$1,778.28	$1,862.09
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 $1,513.56 / $2,041.74 / $3,311.31	Professional		$1,513.56	$2,041.74	$3,311.31