Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $2,884.03 / $2,884.03	Facility		$758.58	$2,884.03	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,698.24	Professional		$758.58	$933.25	$1,698.24
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 $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,862.09	Facility		$1,174.90	$1,174.90	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,174.90	Professional		$870.96	$870.96	$1,174.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $3,548.13	Professional		$1,737.80	$2,454.71	$3,548.13
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $1,862.09	Professional		$1,122.02	$1,318.26	$1,862.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Professional		$1,380.38	$1,380.38	$1,380.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $2,884.03	Facility		$758.58	$758.58	$2,884.03
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,862.09	Professional		$776.25	$1,000.00	$1,862.09
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $2,951.21	Facility		$691.83	$691.83	$2,951.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $2,951.21	Professional		$524.81	$575.44	$2,951.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,737.80	Facility		$1,318.26	$1,318.26	$1,737.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,737.80	Professional		$1,318.26	$1,318.26	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $2,454.71 / $2,951.21	Facility		$891.25	$2,454.71	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,659.59	Professional		$741.31	$912.01	$1,659.59