Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $15,135.61 / $15,135.61	Facility		$3,890.45	$15,135.61	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,677.35 / $8,128.31	Professional		$3,467.37	$4,677.35	$8,128.31
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 $4,897.79 / $7,079.46 / $8,912.51	Professional		$4,897.79	$7,079.46	$8,912.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $8,128.31	Facility		$6,309.57	$6,309.57	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $6,309.57	Professional		$4,570.88	$4,570.88	$6,309.57
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 $8,912.51 / $8,912.51 / $8,912.51	Facility		$8,912.51	$8,912.51	$8,912.51
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $5,754.40 / $8,912.51	Professional		$5,370.32	$5,754.40	$8,912.51
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $15,135.61	Facility		$3,890.45	$3,890.45	$15,135.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $4,786.30 / $8,317.64	Professional		$3,467.37	$4,786.30	$8,317.64
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Facility		$13,182.57	$13,182.57	$13,182.57
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 $4,168.69 / $4,168.69 / $8,317.64	Facility		$4,168.69	$4,168.69	$8,317.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $8,511.38	Professional		$4,168.69	$4,168.69	$8,511.38
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 / $4,786.30 / $7,943.28	Professional		$3,890.45	$4,786.30	$7,943.28