Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $18,620.87 / $102,329.30	Facility		$16,595.87	$18,620.87	$102,329.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $16,595.87 / $19,498.45	Professional		$15,488.17	$16,595.87	$19,498.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $17,782.79 / $26,302.68	Facility		$14,791.08	$17,782.79	$26,302.68
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $18,620.87 / $18,620.87	Professional		$18,620.87	$18,620.87	$18,620.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Facility		$16,595.87	$16,595.87	$16,595.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $16,595.87	Professional		$16,595.87	$16,595.87	$16,595.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $16,595.87 / $16,595.87	Professional		$14,125.38	$16,595.87	$16,595.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Professional		$13,182.57	$13,182.57	$13,182.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $18,620.87 / $102,329.30	Facility		$16,595.87	$18,620.87	$102,329.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $16,595.87 / $19,498.45	Professional		$15,488.17	$16,595.87	$19,498.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $0.60 / $0.60	Professional		$0.60	$0.60	$0.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $20,417.38	Facility		$4,677.35	$4,677.35	$20,417.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $20,417.38	Professional		$4,677.35	$4,677.35	$20,417.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
United Facility/Professional Professional Modifier Low / Median / High Price $16,218.10 / $16,218.10 / $20,417.38	Professional		$16,218.10	$16,218.10	$20,417.38