Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $19,498.45 / $19,498.45	Facility		$5,128.61	$19,498.45	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $6,025.60 / $10,471.29	Professional		$4,466.84	$6,025.60	$10,471.29
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 $6,309.57 / $9,332.54 / $11,748.98	Professional		$6,309.57	$9,332.54	$11,748.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $8,128.31 / $11,481.54	Facility		$8,128.31	$8,128.31	$11,481.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $8,128.31	Professional		$5,888.44	$5,888.44	$8,128.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10,471.29 / $14,791.08 / $21,877.62	Professional		$10,471.29	$14,791.08	$21,877.62
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $11,748.98	Facility		$11,748.98	$11,748.98	$11,748.98
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $7,943.28 / $11,748.98	Professional		$6,918.31	$7,943.28	$11,748.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $19,498.45	Facility		$5,128.61	$5,128.61	$19,498.45
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $6,165.95 / $10,471.29	Professional		$4,570.88	$6,165.95	$10,471.29
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $18,197.01 / $18,197.01 / $18,197.01	Facility		$18,197.01	$18,197.01	$18,197.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $15,135.61 / $21,877.62	Professional		$0.60	$15,135.61	$21,877.62
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $10,964.78	Facility		$5,495.41	$5,495.41	$10,964.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $10,964.78	Professional		$5,495.41	$5,495.41	$10,964.78
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $14,454.40 / $17,378.01	Facility		$4,786.30	$14,454.40	$17,378.01
United Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $6,165.95 / $10,232.93	Professional		$5,128.61	$6,165.95	$10,232.93