Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $25,703.96 / $25,703.96	Facility		$6,606.93	$25,703.96	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,413.10 / $13,182.57	Professional		$6,165.95	$7,413.10	$13,182.57
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 $8,128.31 / $12,022.64 / $15,135.61	Professional		$8,128.31	$12,022.64	$15,135.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $14,791.08	Facility		$9,332.54	$9,332.54	$14,791.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $6,918.31 / $9,332.54	Professional		$6,918.31	$6,918.31	$9,332.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13,489.63 / $19,054.61 / $27,542.29	Professional		$13,489.63	$19,054.61	$27,542.29
Geisinger 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
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $8,912.51 / $10,232.93 / $15,135.61	Professional		$8,912.51	$10,232.93	$15,135.61
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $25,703.96	Facility		$6,606.93	$6,606.93	$25,703.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,585.78 / $13,803.84	Professional		$6,165.95	$7,585.78	$13,803.84
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $23,442.29 / $23,442.29 / $23,442.29	Facility		$23,442.29	$23,442.29	$23,442.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $19,498.45 / $28,183.83	Professional		$0.60	$19,498.45	$28,183.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $14,125.38	Facility		$7,079.46	$7,079.46	$14,125.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $14,125.38	Professional		$7,079.46	$7,079.46	$14,125.38
United Facility/Professional Facility Modifier Low / Median / High Price $6,456.54 / $19,498.45 / $23,442.29	Facility		$6,456.54	$19,498.45	$23,442.29
United Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $7,943.28 / $13,182.57	Professional		$6,606.93	$7,943.28	$13,182.57