Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
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 $1,000.00 / $1,445.44 / $1,819.70	Professional		$1,000.00	$1,445.44	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,467.37	Professional		$2,754.23	$2,754.23	$3,467.37
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,258.93 / $1,819.70	Professional		$1,096.48	$1,258.93	$1,819.70
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $2,570.40 / $3,630.78	Professional		$0.60	$2,570.40	$3,630.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,698.24	Facility		$851.14	$851.14	$1,698.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $2,238.72	Professional		$851.14	$851.14	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,398.83 / $2,884.03	Facility		$794.33	$2,398.83	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,000.00 / $1,659.59	Professional		$794.33	$1,000.00	$1,659.59