Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,511.89 / $2,511.89	Facility		$645.65	$2,511.89	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,621.81	Professional		$645.65	$870.96	$1,621.81
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 $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $1,905.46	Facility		$912.01	$912.01	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $912.01	Professional		$660.69	$660.69	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,454.71 / $3,630.78	Professional		$1,737.80	$2,454.71	$3,630.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,479.11	Professional		$794.33	$1,047.13	$1,479.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $2,511.89	Facility		$645.65	$645.65	$2,511.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $891.25 / $1,621.81	Professional		$645.65	$891.25	$1,621.81
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $2,511.89 / $3,630.78	Professional		$0.60	$2,511.89	$3,630.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,380.38	Facility		$691.83	$691.83	$1,380.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $1,778.28	Professional		$691.83	$691.83	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,995.26 / $2,398.83	Facility		$660.69	$1,995.26	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,412.54	Professional		$660.69	$891.25	$1,412.54