Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $10,000.00 / $16,218.10	Facility		$3,630.78	$10,000.00	$16,218.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,162.28 / $7,079.46	Professional		$2,570.40	$3,162.28	$7,079.46
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $18,197.01 / $26,302.68	Facility		$8,511.38	$18,197.01	$26,302.68
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $6,309.57	Professional		$3,019.95	$3,019.95	$6,309.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,309.57 / $13,182.57	Facility		$3,801.89	$6,309.57	$13,182.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $3,388.44 / $6,760.83	Professional		$1,778.28	$3,388.44	$6,760.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $5,128.61 / $7,413.10	Professional		$2,691.53	$5,128.61	$7,413.10
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $4,265.80 / $7,244.36	Professional		$2,884.03	$4,265.80	$7,244.36
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $9,772.37 / $16,218.10	Facility		$3,630.78	$9,772.37	$16,218.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,467.37 / $14,454.40	Professional		$2,570.40	$3,467.37	$14,454.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Facility		$4,265.80	$4,265.80	$4,265.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $4,677.35	Facility		$3,890.45	$3,890.45	$4,677.35
United Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,344.23 / $4,786.30	Professional		$1,621.81	$2,344.23	$4,786.30