Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $12,589.25 / $12,589.25	Facility		$3,311.31	$12,589.25	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $6,165.95	Professional		$2,754.23	$3,630.78	$6,165.95
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 $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $7,585.78	Facility		$4,466.84	$4,466.84	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,466.84	Professional		$3,235.94	$3,235.94	$4,466.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6,918.31 / $9,772.37 / $14,454.40	Professional		$6,918.31	$9,772.37	$14,454.40
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,248.07 / $7,585.78	Professional		$4,466.84	$5,248.07	$7,585.78
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $12,589.25	Facility		$3,311.31	$3,311.31	$12,589.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,630.78 / $7,585.78	Professional		$2,884.03	$3,630.78	$7,585.78
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $12,022.64	Facility		$12,022.64	$12,022.64	$12,022.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $10,471.29 / $14,454.40	Professional		$0.60	$10,471.29	$14,454.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $7,079.46	Facility		$5,248.07	$5,248.07	$7,079.46
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $7,079.46	Professional		$5,248.07	$5,248.07	$7,079.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $8,912.51 / $10,715.19	Facility		$2,951.21	$8,912.51	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,981.07 / $6,606.93	Professional		$3,235.94	$3,981.07	$6,606.93