Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $9,332.54 / $9,332.54	Facility		$2,398.83	$9,332.54	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $5,248.07	Professional		$2,238.72	$2,818.38	$5,248.07
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 $3,019.95 / $4,365.16 / $5,495.41	Professional		$3,019.95	$4,365.16	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $5,370.32	Facility		$3,715.35	$3,715.35	$5,370.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,715.35	Professional		$2,754.23	$2,754.23	$3,715.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,918.31 / $10,232.93	Professional		$4,897.79	$6,918.31	$10,232.93
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,715.35 / $5,495.41	Professional		$3,311.31	$3,715.35	$5,495.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $9,332.54	Facility		$2,398.83	$2,398.83	$9,332.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,951.21 / $6,309.57	Professional		$2,238.72	$2,951.21	$6,309.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Facility		$8,511.38	$8,511.38	$8,511.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $7,079.46 / $10,232.93	Professional		$0.60	$7,079.46	$10,232.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $5,128.61	Facility		$2,570.40	$2,570.40	$5,128.61
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $5,248.07	Professional		$2,570.40	$2,570.40	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $7,079.46 / $8,511.38	Facility		$2,344.23	$7,079.46	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $4,897.79	Professional		$2,454.71	$2,951.21	$4,897.79