Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $3,890.45 / $8,317.64	Facility		$1,047.13	$3,890.45	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,071.52 / $2,818.38	Professional		$891.25	$1,071.52	$2,818.38
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $6,606.93 / $57,543.99	Facility		$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,047.13 / $1,862.09	Professional		$1,023.29	$1,047.13	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,230.27 / $2,041.74	Professional		$891.25	$1,230.27	$2,041.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $1,905.46	Professional		$1,096.48	$1,445.44	$1,905.46
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $1,949.84	Professional		$933.25	$1,202.26	$1,949.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Professional		$1,230.27	$1,230.27	$1,230.27
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,691.53 / $8,317.64	Facility		$1,023.29	$2,691.53	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,380.38 / $2,884.03	Professional		$933.25	$1,380.38	$2,884.03
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $2,041.74	Facility		$1,202.26	$1,202.26	$2,041.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $2,137.96	Professional		$1,096.48	$1,380.38	$2,137.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,000.00	Facility		$416.87	$416.87	$1,000.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $954.99 / $1,047.13	Professional		$416.87	$954.99	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,466.84 / $26,915.35	Facility		$2,344.23	$4,466.84	$26,915.35
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,202.26 / $1,905.46	Professional		$851.14	$1,202.26	$1,905.46