Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $36,307.81 / $36,307.81	Facility		$9,549.93	$36,307.81	$36,307.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $10,715.19 / $18,620.87	Professional		$8,317.64	$10,715.19	$18,620.87
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 $11,748.98 / $17,378.01 / $21,877.62	Professional		$11,748.98	$17,378.01	$21,877.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $19,498.45	Facility		$13,803.84	$13,803.84	$19,498.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $13,803.84	Professional		$10,000.00	$10,000.00	$13,803.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18,197.01 / $25,703.96 / $37,153.52	Professional		$18,197.01	$25,703.96	$37,153.52
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $21,877.62 / $21,877.62	Facility		$21,877.62	$21,877.62	$21,877.62
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $12,882.50 / $14,125.38 / $21,877.62	Professional		$12,882.50	$14,125.38	$21,877.62
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $36,307.81	Facility		$9,549.93	$9,549.93	$36,307.81
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $8,511.38 / $10,964.78 / $20,417.38	Professional		$8,511.38	$10,964.78	$20,417.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $30,902.95 / $30,902.95 / $30,902.95	Facility		$30,902.95	$30,902.95	$30,902.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $26,302.68 / $38,018.94	Professional		$0.60	$26,302.68	$38,018.94
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
United Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $26,302.68 / $31,622.78	Facility		$8,709.64	$26,302.68	$31,622.78
United Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $11,481.54 / $19,054.61	Professional		$9,332.54	$11,481.54	$19,054.61