Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $6,025.60 / $14,791.08	Facility		$2,884.03	$6,025.60	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $4,168.69	Professional		$2,137.96	$2,884.03	$4,168.69
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 $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,495.41 / $12,302.69	Facility		$2,398.83	$5,495.41	$12,302.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Professional		$17,378.01	$17,378.01	$17,378.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,897.79 / $7,762.47	Professional		$3,801.89	$4,897.79	$7,762.47
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,168.69 / $6,760.83	Professional		$2,691.53	$4,168.69	$6,760.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $6,760.83 / $9,120.11	Facility		$5,011.87	$6,760.83	$9,120.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $5,370.32 / $14,791.08	Facility		$2,884.03	$5,370.32	$14,791.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $10,715.19	Professional		$2,137.96	$2,951.21	$10,715.19
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 $588.84 / $812.83 / $1,023.29	Facility		$588.84	$812.83	$1,023.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,023.29 / $3,630.78	Professional		$588.84	$1,023.29	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,365.16	Facility		$3,630.78	$3,630.78	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $4,466.84	Professional		$1,513.56	$2,137.96	$4,466.84