Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,623.41 / $5,623.41	Facility		$1,445.44	$5,623.41	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,754.23	Professional		$1,348.96	$1,584.89	$2,754.23
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 $1,819.70 / $2,630.27 / $3,311.31	Professional		$1,819.70	$2,630.27	$3,311.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $3,630.78	Facility		$1,819.70	$1,819.70	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,819.70	Professional		$1,548.82	$1,548.82	$1,819.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,786.30 / $6,918.31	Professional		$3,311.31	$4,786.30	$6,918.31
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $3,311.31	Professional		$1,995.26	$2,344.23	$3,311.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $5,623.41	Facility		$1,445.44	$1,445.44	$5,623.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $3,162.28	Professional		$1,380.38	$1,621.81	$3,162.28
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $5,011.87 / $6,918.31	Professional		$0.60	$5,011.87	$6,918.31
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,090.30	Facility		$2,344.23	$2,344.23	$3,090.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $3,162.28	Professional		$2,344.23	$2,344.23	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $2,137.96 / $4,570.88	Facility		$524.81	$2,137.96	$4,570.88
United Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $2,951.21	Professional		$1,445.44	$1,778.28	$2,951.21