Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $7,413.10 / $7,413.10	Facility		$1,905.46	$7,413.10	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,715.35	Professional		$1,862.09	$2,187.76	$3,715.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,311.31 / $3,388.44	Professional		$2,454.71	$3,311.31	$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 $2,398.83 / $3,467.37 / $4,365.16	Professional		$2,398.83	$3,467.37	$4,365.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $4,365.16	Facility		$2,454.71	$2,454.71	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,570.40	Professional		$1,778.28	$1,778.28	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $5,754.40 / $8,317.64	Professional		$3,981.07	$5,754.40	$8,317.64
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Facility		$4,365.16	$4,365.16	$4,365.16
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,090.30 / $4,365.16	Professional		$2,630.27	$3,090.30	$4,365.16
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,388.44 / $3,388.44	Professional		$3,019.95	$3,388.44	$3,388.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $7,413.10	Facility		$1,905.46	$1,905.46	$7,413.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $3,890.45	Professional		$1,862.09	$2,187.76	$3,890.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $6,918.31	Facility		$6,918.31	$6,918.31	$6,918.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $6,165.95 / $8,511.38	Professional		$0.60	$6,165.95	$8,511.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $4,073.80	Facility		$3,090.30	$3,090.30	$4,073.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $4,168.69	Professional		$3,090.30	$3,090.30	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,370.32 / $6,456.54	Facility		$1,778.28	$5,370.32	$6,456.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,290.87 / $3,890.45	Professional		$1,949.84	$2,290.87	$3,890.45