Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $7,079.46 / $7,079.46	Facility		$1,819.70	$7,079.46	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,995.26 / $3,467.37	Professional		$1,698.24	$1,995.26	$3,467.37
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 $2,290.87 / $3,311.31 / $4,168.69	Professional		$2,290.87	$3,311.31	$4,168.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $4,570.88	Facility		$3,235.94	$3,235.94	$4,570.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $3,235.94	Professional		$2,754.23	$2,754.23	$3,235.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,888.44 / $8,511.38	Professional		$4,168.69	$5,888.44	$8,511.38
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $4,168.69 / $4,168.69	Facility		$4,168.69	$4,168.69	$4,168.69
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,884.03 / $4,168.69	Professional		$2,511.89	$2,884.03	$4,168.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $7,079.46	Facility		$1,819.70	$1,819.70	$7,079.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,041.74 / $3,890.45	Professional		$1,698.24	$2,041.74	$3,890.45
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $7,244.36	Facility		$7,244.36	$7,244.36	$7,244.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $6,309.57 / $8,709.64	Professional		$0.60	$6,309.57	$8,709.64
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,890.45	Facility		$2,884.03	$2,884.03	$3,890.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,890.45	Professional		$2,884.03	$2,884.03	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,630.27 / $5,623.41	Facility		$645.65	$2,630.27	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,187.76 / $3,630.78	Professional		$1,819.70	$2,187.76	$3,630.78