Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $10,000.00 / $15,135.61	Facility		$5,011.87	$10,000.00	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $3,548.13	Professional		$2,041.74	$2,884.03	$3,548.13
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 $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,623.41 / $12,589.25	Facility		$2,454.71	$5,623.41	$12,589.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $17,782.79 / $17,782.79	Professional		$17,782.79	$17,782.79	$17,782.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,011.87 / $7,943.28	Professional		$3,890.45	$5,011.87	$7,943.28
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $6,165.95 / $9,332.54	Professional		$3,981.07	$6,165.95	$9,332.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $9,120.11 / $15,135.61	Facility		$5,011.87	$9,120.11	$15,135.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,951.21 / $13,182.57	Professional		$2,187.76	$2,951.21	$13,182.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $4,073.80 / $4,073.80	Facility		$3,715.35	$4,073.80	$4,073.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,073.80	Professional		$3,715.35	$3,715.35	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,365.16	Facility		$3,715.35	$3,715.35	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,187.76 / $4,570.88	Professional		$1,548.82	$2,187.76	$4,570.88