Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $17,782.79 / $17,782.79	Facility		$4,677.35	$17,782.79	$17,782.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,365.16 / $5,248.07 / $9,120.11	Professional		$4,365.16	$5,248.07	$9,120.11
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 $5,754.40 / $8,511.38 / $10,471.29	Professional		$5,754.40	$8,511.38	$10,471.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $9,549.93	Facility		$7,585.78	$7,585.78	$9,549.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $7,585.78	Professional		$5,495.41	$5,495.41	$7,585.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $12,589.25 / $18,197.01	Professional		$8,912.51	$12,589.25	$18,197.01
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $10,471.29 / $10,471.29	Facility		$10,471.29	$10,471.29	$10,471.29
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,918.31 / $10,471.29	Professional		$6,309.57	$6,918.31	$10,471.29
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,677.35 / $4,677.35 / $17,782.79	Facility		$4,677.35	$4,677.35	$17,782.79
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $9,549.93	Professional		$4,570.88	$5,370.32	$9,549.93
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Facility		$15,135.61	$15,135.61	$15,135.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $12,882.50 / $18,620.87	Professional		$0.60	$12,882.50	$18,620.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $9,772.37	Facility		$4,897.79	$4,897.79	$9,772.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $10,000.00	Professional		$4,897.79	$4,897.79	$10,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $12,882.50 / $15,488.17	Facility		$4,265.80	$12,882.50	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $5,623.41 / $9,332.54	Professional		$4,570.88	$5,623.41	$9,332.54