Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $6,025.60 / $10,715.19	Facility		$562.34	$6,025.60	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $1,348.96	Professional		$323.59	$426.58	$1,348.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,165.95 / $57,543.99	Facility		$5,011.87	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $645.65 / $741.31	Professional		$575.44	$645.65	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $478.63 / $776.25	Professional		$363.08	$478.63	$776.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $758.58	Professional		$524.81	$676.08	$758.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $758.58	Professional		$354.81	$524.81	$758.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,762.47 / $14,791.08	Facility		$3,801.89	$7,762.47	$14,791.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $5,495.41 / $10,471.29	Facility		$616.60	$5,495.41	$10,471.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $1,174.90	Professional		$338.84	$512.86	$1,174.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $891.25	Facility		$436.52	$436.52	$891.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $707.95 / $891.25	Professional		$389.05	$707.95	$891.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $758.58	Facility		$309.03	$389.05	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $758.58	Professional		$309.03	$426.58	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,000.00	Facility		$1,348.96	$3,548.13	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $436.52 / $758.58	Professional		$331.13	$436.52	$758.58