Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $81,283.05 / $81,283.05	Facility		$20,892.96	$81,283.05	$81,283.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20,417.38 / $23,988.33 / $40,738.03	Professional		$20,417.38	$23,988.33	$40,738.03
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 $46,773.51 / $46,773.51 / $46,773.51	Professional		$46,773.51	$46,773.51	$46,773.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31,622.78 / $31,622.78 / $47,863.01	Facility		$31,622.78	$31,622.78	$47,863.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $31,622.78	Professional		$22,908.68	$22,908.68	$31,622.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44,668.36 / $63,095.73 / $91,201.08	Professional		$44,668.36	$63,095.73	$91,201.08
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $47,863.01 / $47,863.01 / $47,863.01	Facility		$47,863.01	$47,863.01	$47,863.01
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $28,840.32 / $33,884.42 / $47,863.01	Professional		$28,840.32	$33,884.42	$47,863.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $20,892.96 / $20,892.96 / $81,283.05	Facility		$20,892.96	$20,892.96	$81,283.05
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20,892.96 / $24,547.09 / $42,657.95	Professional		$20,892.96	$24,547.09	$42,657.95
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $75,857.76 / $75,857.76 / $75,857.76	Facility		$75,857.76	$75,857.76	$75,857.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $67,608.30 / $93,325.43	Professional		$0.60	$67,608.30	$93,325.43
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33,884.42 / $33,884.42 / $44,668.36	Facility		$33,884.42	$33,884.42	$44,668.36
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33,884.42 / $33,884.42 / $45,708.82	Professional		$33,884.42	$33,884.42	$45,708.82
United Facility/Professional Facility Modifier Low / Median / High Price $19,498.45 / $58,884.37 / $70,794.58	Facility		$19,498.45	$58,884.37	$70,794.58
United Facility/Professional Professional Modifier Low / Median / High Price $21,379.62 / $25,703.96 / $42,657.95	Professional		$21,379.62	$25,703.96	$42,657.95