Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $6,760.83 / $10,964.78	Facility		$3,019.95	$6,760.83	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $2,884.03	Professional		$1,513.56	$2,041.74	$2,884.03
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 $1,949.84 / $1,949.84 / $4,466.84	Professional		$1,949.84	$1,949.84	$4,466.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,981.07 / $8,511.38	Facility		$2,454.71	$3,981.07	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Professional		$12,022.64	$12,022.64	$12,022.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $5,495.41	Professional		$2,630.27	$3,388.44	$5,495.41
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,951.21 / $5,248.07	Professional		$2,089.30	$2,951.21	$5,248.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,456.54 / $10,471.29	Facility		$2,951.21	$6,456.54	$10,471.29
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,041.74 / $7,413.10	Professional		$1,513.56	$2,041.74	$7,413.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Professional		$3,548.13	$3,548.13	$3,548.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $4,265.80	Facility		$2,511.89	$3,090.30	$4,265.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,090.30 / $4,265.80	Professional		$2,511.89	$3,090.30	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $3,019.95	Facility		$2,511.89	$2,511.89	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,513.56 / $3,388.44	Professional		$1,047.13	$1,513.56	$3,388.44