Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,309.57 / $6,309.57	Facility		$1,659.59	$6,309.57	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,137.96 / $4,073.80	Professional		$1,621.81	$2,137.96	$4,073.80
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 $2,041.74 / $3,019.95 / $3,715.35	Professional		$2,041.74	$3,019.95	$3,715.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,981.07	Facility		$3,162.28	$3,162.28	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $3,162.28	Professional		$2,290.87	$2,290.87	$3,162.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $5,128.61 / $7,585.78	Professional		$3,630.78	$5,128.61	$7,585.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $3,715.35	Professional		$2,238.72	$2,630.27	$3,715.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $6,309.57	Facility		$1,659.59	$1,659.59	$6,309.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,187.76 / $4,466.84	Professional		$1,621.81	$2,187.76	$4,466.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $5,248.07 / $7,585.78	Professional		$0.60	$5,248.07	$7,585.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,467.37	Facility		$1,737.80	$1,737.80	$3,467.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $3,715.35	Professional		$1,737.80	$1,737.80	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,897.79 / $5,888.44	Facility		$1,659.59	$4,897.79	$5,888.44
United Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $3,388.44	Professional		$1,659.59	$2,041.74	$3,388.44