Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,862.09 / $1,862.09	Facility		$478.63	$1,862.09	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $1,071.52	Professional		$489.78	$660.69	$1,071.52
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 $1,174.90 / $1,174.90 / $1,174.90	Professional		$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,479.11	Facility		$741.31	$741.31	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $741.31	Professional		$537.03	$537.03	$741.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,949.84 / $2,818.38	Professional		$1,348.96	$1,949.84	$2,818.38
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $831.76 / $1,202.26	Professional		$724.44	$831.76	$1,202.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $891.25 / $1,548.82	Professional		$794.33	$891.25	$1,548.82
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $1,862.09	Facility		$478.63	$478.63	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $691.83 / $1,819.70	Professional		$489.78	$691.83	$1,819.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $2,344.23	Facility		$891.25	$891.25	$2,344.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $1,949.84 / $2,884.03	Professional		$0.60	$1,949.84	$2,884.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,122.02	Facility		$851.14	$851.14	$1,122.02
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $1,148.15	Professional		$851.14	$851.14	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,584.89 / $1,905.46	Facility		$588.84	$1,584.89	$1,905.46
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $588.84 / $1,122.02	Professional		$489.78	$588.84	$1,122.02