Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $53,703.18 / $87,096.36	Facility		$28,840.32	$53,703.18	$87,096.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,840.32 / $39,810.72	Professional		$28,183.83	$28,840.32	$39,810.72
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $25,703.96 / $30,902.95 / $46,773.51	Facility		$25,703.96	$30,902.95	$46,773.51
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $29,512.09 / $29,512.09 / $29,512.09	Professional		$29,512.09	$29,512.09	$29,512.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $28,183.83	Facility		$28,183.83	$28,183.83	$28,183.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $29,512.09	Professional		$28,183.83	$28,183.83	$29,512.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $29,512.09 / $34,673.69	Professional		$28,183.83	$29,512.09	$34,673.69
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $28,183.83	Facility		$28,183.83	$28,183.83	$28,183.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $11,220.18 / $33,884.42 / $56,234.13	Professional		$11,220.18	$33,884.42	$56,234.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $53,703.18 / $87,096.36	Facility		$28,840.32	$53,703.18	$87,096.36
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $28,840.32 / $45,708.82	Professional		$28,183.83	$28,840.32	$45,708.82
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $39,810.72 / $39,810.72 / $39,810.72	Facility		$39,810.72	$39,810.72	$39,810.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $10,715.19 / $48,977.88	Professional		$0.60	$10,715.19	$48,977.88
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $27,542.29 / $33,113.11	Facility		$23,442.29	$27,542.29	$33,113.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $23,442.29 / $27,542.29 / $33,113.11	Professional		$23,442.29	$27,542.29	$33,113.11
United Facility/Professional Facility Modifier Low / Median / High Price $28,183.83 / $28,183.83 / $28,183.83	Facility		$28,183.83	$28,183.83	$28,183.83
United Facility/Professional Professional Modifier Low / Median / High Price $28,183.83 / $30,199.52 / $33,884.42	Professional		$28,183.83	$30,199.52	$33,884.42