Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $4,073.80 / $8,511.38	Facility		$1,047.13	$4,073.80	$8,511.38
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $891.25 / $2,570.40 / $8,511.38	Facility	50	$891.25	$2,570.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $2,041.74	Professional		$457.09	$691.83	$2,041.74
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 $724.44 / $1,023.29 / $1,258.93	Professional		$724.44	$1,023.29	$1,258.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,258.93	Professional		$467.74	$707.95	$1,258.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $1,258.93	Professional		$891.25	$1,148.15	$1,258.93
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,258.93	Professional		$501.19	$851.14	$1,258.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $9,120.11 / $14,454.40	Facility		$2,454.71	$9,120.11	$14,454.40
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $8,709.64 / $8,709.64 / $8,912.51	Facility	50	$8,709.64	$8,709.64	$8,912.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,467.37 / $8,511.38	Facility		$977.24	$3,467.37	$8,511.38
Martin's Point Facility/Professional Facility Modifier 50 Low / Median / High Price $891.25 / $2,570.40 / $8,511.38	Facility	50	$891.25	$2,570.40	$8,511.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $776.25 / $1,905.46	Professional		$467.74	$776.25	$1,905.46
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $1,584.89	Facility		$630.96	$630.96	$1,584.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,288.25 / $1,548.82	Professional		$575.44	$1,288.25	$1,548.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $478.63 / $724.44	Facility		$407.38	$478.63	$724.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $776.25	Professional		$407.38	$489.78	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,548.13 / $10,232.93	Facility		$1,348.96	$3,548.13	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,096.48	Professional		$426.58	$660.69	$1,096.48