Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $6,606.93 / $6,606.93	Facility		$1,737.80	$6,606.93	$6,606.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $4,265.80	Professional		$1,659.59	$2,137.96	$4,265.80
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 $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,890.45	Facility		$3,311.31	$3,311.31	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $3,311.31	Professional		$2,398.83	$2,398.83	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,128.61 / $7,413.10	Professional		$3,548.13	$5,128.61	$7,413.10
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $3,981.07	Professional		$2,344.23	$2,754.23	$3,981.07
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $6,606.93	Facility		$1,737.80	$1,737.80	$6,606.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $4,677.35	Professional		$1,698.24	$2,290.87	$4,677.35
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
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 $1,862.09 / $1,862.09 / $3,715.35	Facility		$1,862.09	$1,862.09	$3,715.35
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $3,715.35	Professional		$1,862.09	$2,754.23	$3,715.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,248.07 / $6,309.57	Facility		$1,737.80	$5,248.07	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,137.96 / $3,548.13	Professional		$1,737.80	$2,137.96	$3,548.13