Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,818.38 / $8,317.64	Facility		$758.58	$2,818.38	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $478.63 / $1,148.15	Professional		$64.57	$478.63	$1,148.15
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $100.00	Professional		$93.33	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $794.33 / $1,548.82	Facility		$112.20	$794.33	$1,548.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $380.19 / $1,047.13	Professional		$67.61	$380.19	$1,047.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,000.00 / $1,412.54	Professional		$741.31	$1,000.00	$1,412.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $630.96 / $1,096.48	Professional		$83.18	$630.96	$1,096.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $812.83	Professional		$741.31	$741.31	$812.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,398.83 / $8,317.64	Facility		$616.60	$2,398.83	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $501.19 / $1,479.11	Professional		$66.07	$501.19	$1,479.11
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $104.71 / $1,513.56	Facility		$97.72	$104.71	$1,513.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $1,230.27 / $1,513.56	Professional		$97.72	$1,230.27	$1,513.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $309.03 / $630.96	Facility		$64.57	$309.03	$630.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $309.03 / $691.83	Professional		$64.57	$309.03	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $1,905.46 / $4,265.80	Facility		$549.54	$1,905.46	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $147.91 / $912.01	Professional		$60.26	$147.91	$912.01