Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $4,786.30 / $8,317.64	Facility		$1,096.48	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,445.44	Professional		$489.78	$630.96	$1,445.44
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 $549.54 / $562.34 / $1,000.00	Professional		$549.54	$562.34	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $1,023.29	Professional		$436.52	$575.44	$1,023.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $794.33	Professional		$575.44	$575.44	$794.33
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $812.83	Professional		$446.68	$524.81	$812.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $851.14 / $851.14 / $851.14	Facility	50	$851.14	$851.14	$851.14
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,801.89 / $8,317.64	Facility		$1,023.29	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $1,778.28	Professional		$489.78	$676.08	$1,778.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $912.01	Professional		$524.81	$524.81	$912.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $537.03	Facility		$478.63	$478.63	$537.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $588.84	Professional		$478.63	$478.63	$588.84
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 $426.58 / $575.44 / $1,047.13	Professional		$426.58	$575.44	$1,047.13