Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $30,902.95 / $30,902.95	Facility		$7,943.28	$30,902.95	$30,902.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $9,120.11 / $15,848.93	Professional		$7,413.10	$9,120.11	$15,848.93
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 $10,000.00 / $14,454.40 / $18,197.01	Professional		$10,000.00	$14,454.40	$18,197.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11,748.98 / $11,748.98 / $17,378.01	Facility		$11,748.98	$11,748.98	$17,378.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $11,748.98	Professional		$8,511.38	$8,511.38	$11,748.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15,848.93 / $22,908.68 / $33,113.11	Professional		$15,848.93	$22,908.68	$33,113.11
Geisinger 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
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $10,964.78 / $12,022.64 / $18,197.01	Professional		$10,964.78	$12,022.64	$18,197.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $30,902.95	Facility		$7,943.28	$7,943.28	$30,902.95
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $9,332.54 / $19,952.62	Professional		$7,413.10	$9,332.54	$19,952.62
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $27,542.29 / $27,542.29 / $27,542.29	Facility		$27,542.29	$27,542.29	$27,542.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $23,442.29 / $33,884.42	Professional		$0.60	$23,442.29	$33,884.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Facility		$8,511.38	$8,511.38	$8,511.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $22,908.68 / $27,542.29	Facility		$7,585.78	$22,908.68	$27,542.29
United Facility/Professional Professional Modifier Low / Median / High Price $8,128.31 / $9,772.37 / $16,595.87	Professional		$8,128.31	$9,772.37	$16,595.87