Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $6,025.60 / $9,549.93	Facility		$1,380.38	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,659.59	Professional		$776.25	$933.25	$1,659.59
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 $831.76 / $870.96 / $1,548.82	Professional		$831.76	$870.96	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $891.25 / $1,548.82	Professional		$676.08	$891.25	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,202.26	Professional		$870.96	$870.96	$1,202.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $812.83 / $1,380.38	Professional		$724.44	$812.83	$1,380.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $5,248.07 / $9,549.93	Facility		$1,122.02	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $2,630.27	Professional		$794.33	$1,023.29	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,513.56	Professional		$891.25	$891.25	$1,513.56
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $831.76	Facility		$691.83	$691.83	$831.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $870.96	Professional		$691.83	$812.83	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $12,882.50	Facility		$1,348.96	$3,548.13	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $912.01 / $1,548.82	Professional		$676.08	$912.01	$1,548.82