Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $15,848.93 / $15,848.93	Facility		$4,168.69	$15,848.93	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,786.30 / $8,511.38	Professional		$3,467.37	$4,786.30	$8,511.38
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 $5,128.61 / $7,585.78 / $9,332.54	Professional		$5,128.61	$7,585.78	$9,332.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $8,128.31	Facility		$6,606.93	$6,606.93	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $6,606.93	Professional		$4,786.30	$4,786.30	$6,606.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,585.78 / $10,715.19 / $15,488.17	Professional		$7,585.78	$10,715.19	$15,488.17
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Facility		$9,332.54	$9,332.54	$9,332.54
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,165.95 / $9,332.54	Professional		$5,623.41	$6,165.95	$9,332.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $15,848.93	Facility		$4,168.69	$4,168.69	$15,848.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,786.30 / $8,511.38	Professional		$3,467.37	$4,786.30	$8,511.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $12,882.50 / $12,882.50 / $12,882.50	Facility		$12,882.50	$12,882.50	$12,882.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $10,964.78 / $15,848.93	Professional		$0.60	$10,964.78	$15,848.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $8,709.64	Facility		$4,466.84	$4,466.84	$8,709.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $8,912.51	Professional		$4,466.84	$4,466.84	$8,912.51
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $10,964.78 / $13,182.57	Facility		$3,630.78	$10,964.78	$13,182.57
United Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,011.87 / $8,128.31	Professional		$3,890.45	$5,011.87	$8,128.31