Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,890.45 / $8,317.64	Facility		$954.99	$3,890.45	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $758.58 / $1,348.96	Professional		$199.53	$758.58	$1,348.96
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 $645.65 / $758.58 / $1,445.44	Professional		$645.65	$758.58	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $912.01 / $1,778.28	Facility		$346.74	$912.01	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $407.38 / $1,479.11	Professional		$204.17	$407.38	$1,479.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,513.56	Professional		$794.33	$1,071.52	$1,513.56
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $977.24 / $1,412.54	Professional		$245.47	$977.24	$1,412.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Facility		$6,760.83	$6,760.83	$6,760.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,691.53 / $8,317.64	Facility		$912.01	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $758.58 / $1,862.09	Professional		$208.93	$758.58	$1,862.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,778.28	Facility		$1,122.02	$1,122.02	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $2,187.76	Professional		$1,122.02	$1,513.56	$2,187.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $616.60 / $954.99	Facility		$199.53	$616.60	$954.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $616.60 / $831.76	Professional		$199.53	$616.60	$831.76
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 $190.55 / $575.44 / $1,348.96	Professional		$190.55	$575.44	$1,348.96