Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $7,943.28 / $7,943.28	Facility		$2,041.74	$7,943.28	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $4,570.88	Professional		$1,995.26	$2,570.40	$4,570.88
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 $2,570.40 / $3,715.35 / $4,677.35	Professional		$2,570.40	$3,715.35	$4,677.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $4,677.35	Facility		$3,548.13	$3,548.13	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,548.13	Professional		$2,570.40	$2,570.40	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $6,165.95 / $8,912.51	Professional		$4,265.80	$6,165.95	$8,912.51
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $4,677.35	Facility		$4,677.35	$4,677.35	$4,677.35
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,235.94 / $4,677.35	Professional		$2,818.38	$3,235.94	$4,677.35
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $7,943.28	Facility		$2,041.74	$2,041.74	$7,943.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $5,623.41	Professional		$1,995.26	$2,691.53	$5,623.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Facility		$7,413.10	$7,413.10	$7,413.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $6,309.57 / $9,120.11	Professional		$0.60	$6,309.57	$9,120.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $4,365.16	Facility		$2,187.76	$2,187.76	$4,365.16
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $5,248.07	Professional		$2,187.76	$2,187.76	$5,248.07
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,165.95 / $7,413.10	Facility		$2,041.74	$6,165.95	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,454.71 / $4,265.80	Professional		$2,041.74	$2,454.71	$4,265.80