Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,238.72 / $2,238.72	Facility		$575.44	$2,238.72	$2,238.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $724.44 / $1,479.11	Professional		$575.44	$724.44	$1,479.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,412.54 / $1,412.54	Professional		$977.24	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,380.38	Facility		$831.76	$831.76	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $831.76	Professional		$616.60	$616.60	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,778.28 / $2,570.40	Professional		$1,258.93	$1,778.28	$2,570.40
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $954.99 / $1,412.54	Professional		$851.14	$954.99	$1,412.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $2,238.72	Facility		$575.44	$575.44	$2,238.72
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $758.58 / $1,621.81	Professional		$575.44	$758.58	$1,621.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,819.70 / $2,630.27	Professional		$0.60	$1,819.70	$2,630.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,318.26	Facility		$1,000.00	$1,000.00	$1,318.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,318.26	Professional		$1,000.00	$1,000.00	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,819.70 / $2,187.76	Facility		$660.69	$1,819.70	$2,187.76
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,258.93	Professional		$549.54	$691.83	$1,258.93