Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,606.93 / $11,220.18	Facility		$1,412.54	$6,606.93	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,230.27 / $2,454.71	Professional		$1,071.52	$1,230.27	$2,454.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Professional		$1,071.52	$1,071.52	$1,071.52
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,000.00 / $57,543.99	Facility		$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,148.15 / $2,089.30	Professional		$1,122.02	$1,148.15	$2,089.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,137.96	Professional		$891.25	$1,258.93	$2,137.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,584.89	Professional		$1,148.15	$1,148.15	$1,584.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,041.74	Professional		$977.24	$1,258.93	$2,041.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,549.93 / $19,498.45	Facility		$9,120.11	$9,549.93	$19,498.45
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,380.38 / $1,778.28	Professional		$1,288.25	$1,380.38	$1,778.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $5,754.40 / $10,715.19	Facility		$1,148.15	$5,754.40	$10,715.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $2,818.38	Professional		$1,023.29	$1,348.96	$2,818.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $2,089.30	Professional		$1,071.52	$1,071.52	$2,089.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,659.59	Facility		$1,023.29	$1,023.29	$1,659.59
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,659.59	Professional		$1,023.29	$1,023.29	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,897.79 / $12,882.50	Facility		$2,344.23	$4,897.79	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,258.93 / $2,137.96	Professional		$977.24	$1,258.93	$2,137.96