Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $5,011.87 / $8,511.38	Professional		$4,168.69	$5,011.87	$8,511.38
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 $5,623.41 / $8,128.31 / $10,232.93	Professional		$5,623.41	$8,128.31	$10,232.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $10,000.00	Facility		$7,943.28	$7,943.28	$10,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $7,943.28	Professional		$6,760.83	$6,760.83	$7,943.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $13,182.57 / $19,054.61	Professional		$9,332.54	$13,182.57	$19,054.61
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Facility		$10,232.93	$10,232.93	$10,232.93
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $7,079.46 / $10,232.93	Professional		$6,165.95	$7,079.46	$10,232.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Facility		$4,466.84	$4,466.84	$4,466.84
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $5,128.61 / $9,772.37	Professional		$4,265.80	$5,128.61	$9,772.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $15,848.93 / $15,848.93	Facility		$15,848.93	$15,848.93	$15,848.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $13,489.63 / $19,498.45	Professional		$0.60	$13,489.63	$19,498.45
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $9,549.93	Facility		$7,244.36	$7,244.36	$9,549.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $7,244.36 / $7,244.36 / $9,549.93	Professional		$7,244.36	$7,244.36	$9,549.93
United Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $12,302.69 / $14,454.40	Facility		$4,073.80	$12,302.69	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $5,370.32 / $9,120.11	Professional		$4,466.84	$5,370.32	$9,120.11