Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,128.61 / $8,511.38	Facility		$1,288.25	$5,128.61	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $691.83 / $1,513.56	Professional		$588.84	$691.83	$1,513.56
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 $630.96 / $660.69 / $1,148.15	Professional		$630.96	$660.69	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,174.90	Professional		$512.86	$676.08	$1,174.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $933.25	Professional		$676.08	$676.08	$933.25
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $616.60 / $1,023.29	Professional		$524.81	$616.60	$1,023.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $7,943.28	Facility		$5,370.32	$5,370.32	$7,943.28
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $1,071.52	Professional		$794.33	$794.33	$1,071.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,570.88 / $8,511.38	Facility		$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,737.80	Professional		$588.84	$758.58	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,148.15	Professional		$645.65	$645.65	$1,148.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $630.96	Facility		$588.84	$588.84	$630.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $660.69	Professional		$588.84	$588.84	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $4,168.69 / $12,022.64	Facility		$2,089.30	$4,168.69	$12,022.64
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $1,202.26	Professional		$489.78	$676.08	$1,202.26