Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $14,791.08 / $14,791.08	Facility		$3,801.89	$14,791.08	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,265.80 / $7,413.10	Professional		$3,715.35	$4,265.80	$7,413.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $4,365.16	Professional		$4,365.16	$4,365.16	$4,365.16
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 $4,786.30 / $6,918.31 / $8,709.64	Professional		$4,786.30	$6,918.31	$8,709.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $8,709.64	Facility		$6,025.60	$6,025.60	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $4,365.16 / $6,025.60	Professional		$4,365.16	$4,365.16	$6,025.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $11,220.18 / $16,595.87	Professional		$7,943.28	$11,220.18	$16,595.87
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,025.60 / $8,709.64	Professional		$5,128.61	$6,025.60	$8,709.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Professional		$5,754.40	$5,754.40	$5,754.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $14,791.08	Facility		$3,801.89	$3,801.89	$14,791.08
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,365.16 / $7,585.78	Professional		$3,715.35	$4,365.16	$7,585.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $11,481.54 / $16,595.87	Professional		$0.60	$11,481.54	$16,595.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $8,128.31	Facility		$6,025.60	$6,025.60	$8,128.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $8,317.64	Professional		$6,025.60	$6,025.60	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $10,471.29 / $12,589.25	Facility		$3,467.37	$10,471.29	$12,589.25
United Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,570.88 / $7,585.78	Professional		$3,801.89	$4,570.88	$7,585.78