Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $6,025.60 / $9,549.93	Facility		$1,412.54	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,096.48 / $2,630.27	Professional		$758.58	$1,096.48	$2,630.27
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 $954.99 / $977.24 / $1,513.56	Professional		$954.99	$977.24	$1,513.56
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 $741.31 / $1,000.00 / $1,584.89	Professional		$741.31	$1,000.00	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,479.11	Professional		$1,071.52	$1,071.52	$1,479.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $954.99 / $1,548.82	Professional		$831.76	$954.99	$1,548.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,128.61 / $10,471.29	Facility		$2,630.27	$5,128.61	$10,471.29
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility	50	$3,235.94	$3,235.94	$3,235.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,202.26 / $1,202.26	Professional		$1,096.48	$1,202.26	$1,202.26
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 $758.58 / $1,096.48 / $2,754.23	Professional		$758.58	$1,096.48	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,584.89	Professional		$1,000.00	$1,000.00	$1,584.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $954.99	Facility		$691.83	$691.83	$954.99
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $912.01 / $1,023.29	Professional		$691.83	$912.01	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $7,585.78	Facility		$1,348.96	$3,548.13	$7,585.78
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $954.99 / $1,621.81	Professional		$741.31	$954.99	$1,621.81