Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $3,630.78 / $5,888.44	Facility		$1,148.15	$3,630.78	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,096.48 / $2,238.72	Professional		$724.44	$1,096.48	$2,238.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $6,456.54 / $9,120.11	Facility		$4,897.79	$6,456.54	$9,120.11
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,089.30 / $3,981.07	Facility		$912.01	$2,089.30	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,445.44 / $3,019.95	Professional		$630.96	$1,445.44	$3,019.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,778.28 / $2,570.40	Professional		$630.96	$1,778.28	$2,570.40
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $2,570.40	Professional		$1,023.29	$1,548.82	$2,570.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,754.23 / $2,884.03	Facility		$2,570.40	$2,754.23	$2,884.03
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $870.96 / $1,148.15	Professional		$812.83	$870.96	$1,148.15
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $3,467.37 / $5,623.41	Facility		$1,258.93	$3,467.37	$5,623.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,148.15 / $3,981.07	Professional		$724.44	$1,148.15	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $1,479.11	Facility		$245.47	$245.47	$1,479.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $1,174.90 / $1,479.11	Professional		$245.47	$1,174.90	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,348.96 / $1,621.81	Facility		$741.31	$1,348.96	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $812.83 / $1,819.70	Professional		$562.34	$812.83	$1,819.70