Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $20,417.38 / $20,417.38	Facility		$5,248.07	$20,417.38	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $6,606.93 / $11,220.18	Professional		$4,786.30	$6,606.93	$11,220.18
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 $6,606.93 / $9,772.37 / $12,022.64	Professional		$6,606.93	$9,772.37	$12,022.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $13,803.84	Facility		$8,709.64	$8,709.64	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $8,709.64	Professional		$6,309.57	$6,309.57	$8,709.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $18,197.01 / $26,302.68	Professional		$12,589.25	$18,197.01	$26,302.68
Geisinger 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
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $8,511.38 / $12,022.64	Professional		$7,244.36	$8,511.38	$12,022.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $20,417.38	Facility		$5,248.07	$5,248.07	$20,417.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,606.93 / $12,882.50	Professional		$5,011.87	$6,606.93	$12,882.50
Oscar Health 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
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $18,620.87 / $26,915.35	Professional		$0.60	$18,620.87	$26,915.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $11,220.18	Facility		$5,623.41	$5,623.41	$11,220.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $5,623.41 / $12,882.50	Professional		$5,623.41	$5,623.41	$12,882.50
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $15,135.61 / $18,197.01	Facility		$5,011.87	$15,135.61	$18,197.01
United Facility/Professional Professional Modifier Low / Median / High Price $5,370.32 / $6,760.83 / $10,715.19	Professional		$5,370.32	$6,760.83	$10,715.19