Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $5,754.40 / $5,754.40	Facility		$1,479.11	$5,754.40	$5,754.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,388.44	Professional		$1,445.44	$1,949.84	$3,388.44
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 $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $4,466.84	Facility		$2,630.27	$2,630.27	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,630.27	Professional		$1,905.46	$1,905.46	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,888.44 / $8,511.38	Professional		$4,168.69	$5,888.44	$8,511.38
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,344.23 / $3,388.44	Professional		$2,041.74	$2,344.23	$3,388.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $5,754.40	Facility		$1,479.11	$1,479.11	$5,754.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,949.84 / $3,801.89	Professional		$1,445.44	$1,949.84	$3,801.89
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility		$7,079.46	$7,079.46	$7,079.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $6,025.60 / $8,709.64	Professional		$0.60	$6,025.60	$8,709.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $3,162.28	Facility		$1,584.89	$1,584.89	$3,162.28
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $3,890.45	Professional		$1,584.89	$1,584.89	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,466.84 / $5,370.32	Facility		$1,479.11	$4,466.84	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,041.74 / $3,311.31	Professional		$1,479.11	$2,041.74	$3,311.31