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 / $691.83 / $1,174.90	Professional		$575.44	$691.83	$1,174.90
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 $776.25 / $1,148.15 / $1,412.54	Professional		$776.25	$1,148.15	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $1,445.44	Facility		$831.76	$831.76	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $831.76	Professional		$602.56	$602.56	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $2,754.23	Professional		$1,348.96	$1,905.46	$2,754.23
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 / $1,000.00 / $1,412.54	Professional		$851.14	$1,000.00	$1,412.54
Highmark BCBS 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
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 / $707.95 / $1,584.89	Professional		$575.44	$707.95	$1,584.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Facility		$2,290.87	$2,290.87	$2,290.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,949.84 / $2,818.38	Professional		$0.60	$1,949.84	$2,818.38
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 / $1,258.93 / $1,348.96	Professional		$1,000.00	$1,258.93	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,778.28 / $2,137.96	Facility		$645.65	$1,778.28	$2,137.96
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $691.83 / $1,258.93	Professional		$549.54	$691.83	$1,258.93