Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $9,332.54 / $9,332.54	Facility		$2,454.71	$9,332.54	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,884.03 / $4,786.30	Professional		$2,344.23	$2,884.03	$4,786.30
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 $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $5,248.07	Facility		$3,715.35	$3,715.35	$5,248.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,715.35	Professional		$2,691.53	$2,691.53	$3,715.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $6,918.31 / $10,000.00	Professional		$4,897.79	$6,918.31	$10,000.00
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $5,623.41	Facility		$5,623.41	$5,623.41	$5,623.41
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,890.45 / $5,623.41	Professional		$3,311.31	$3,890.45	$5,623.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $9,332.54	Facility		$2,454.71	$2,454.71	$9,332.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,951.21 / $5,011.87	Professional		$2,398.83	$2,951.21	$5,011.87
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 / $7,413.10 / $10,232.93	Professional		$0.60	$7,413.10	$10,232.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $5,248.07	Professional		$3,890.45	$3,890.45	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,918.31 / $8,317.64	Facility		$2,290.87	$6,918.31	$8,317.64
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