Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,148.15 / $1,148.15	Facility		$302.00	$1,148.15	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $707.95	Professional		$288.40	$380.19	$707.95
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 $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $691.83	Facility		$416.87	$416.87	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $416.87	Professional		$309.03	$309.03	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,318.26	Professional		$645.65	$912.01	$1,318.26
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $691.83	Professional		$407.38	$478.63	$691.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,148.15	Facility		$302.00	$302.00	$1,148.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $812.83	Professional		$288.40	$389.05	$812.83
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,096.48	Facility		$1,096.48	$1,096.48	$1,096.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $933.25 / $1,348.96	Professional		$0.60	$933.25	$1,348.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $645.65	Facility		$323.59	$323.59	$645.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $645.65	Professional		$323.59	$323.59	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $912.01 / $1,096.48	Facility		$302.00	$912.01	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $660.69	Professional		$302.00	$371.54	$660.69