Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $18,620.87 / $30,199.52	Facility		$6,760.83	$18,620.87	$30,199.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,888.44 / $13,182.57	Professional		$4,677.35	$5,888.44	$13,182.57
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $33,884.42 / $48,977.88	Facility		$13,182.57	$33,884.42	$48,977.88
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $10,964.78	Professional		$5,623.41	$5,623.41	$10,964.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $11,748.98 / $24,547.09	Facility		$7,079.46	$11,748.98	$24,547.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $6,309.57 / $12,882.50	Professional		$3,388.44	$6,309.57	$12,882.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $9,332.54 / $13,803.84	Professional		$5,011.87	$9,332.54	$13,803.84
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $8,317.64 / $13,489.63	Professional		$5,370.32	$8,317.64	$13,489.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $17,782.79 / $30,199.52	Facility		$6,760.83	$17,782.79	$30,199.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $6,456.54 / $26,915.35	Professional		$4,677.35	$6,456.54	$26,915.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,943.28 / $7,943.28	Facility		$7,244.36	$7,943.28	$7,943.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,943.28	Professional		$7,244.36	$7,244.36	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $8,709.64	Facility		$7,244.36	$7,244.36	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,365.16 / $8,912.51	Professional		$3,019.95	$4,365.16	$8,912.51