Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,096.48 / $2,951.21	Facility		$478.63	$1,096.48	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $575.44 / $691.83	Professional		$295.12	$575.44	$691.83
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 $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,096.48 / $2,454.71	Facility		$478.63	$1,096.48	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,548.82	Professional		$758.58	$977.24	$1,548.82
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,202.26 / $1,819.70	Professional		$776.25	$1,202.26	$1,819.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $1,071.52	Facility		$389.05	$389.05	$1,071.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,819.70 / $2,951.21	Facility		$602.56	$1,819.70	$2,951.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $588.84 / $1,819.70	Professional		$295.12	$588.84	$1,819.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $794.33 / $794.33	Facility		$724.44	$794.33	$794.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $794.33	Professional		$478.63	$724.44	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $870.96	Facility		$724.44	$724.44	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $891.25	Professional		$302.00	$436.52	$891.25