Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,265.80 / $7,244.36	Professional		$3,548.13	$4,265.80	$7,244.36
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 $8,511.38 / $8,511.38 / $8,511.38	Professional		$8,511.38	$8,511.38	$8,511.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $8,511.38	Facility		$4,786.30	$4,786.30	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,786.30	Professional		$4,073.80	$4,073.80	$4,786.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $11,220.18 / $16,218.10	Professional		$7,943.28	$11,220.18	$16,218.10
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $8,709.64 / $8,709.64 / $8,709.64	Facility		$8,709.64	$8,709.64	$8,709.64
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,025.60 / $8,709.64	Professional		$5,248.07	$6,025.60	$8,709.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $4,365.16 / $7,244.36	Professional		$3,548.13	$4,365.16	$7,244.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Facility		$13,489.63	$13,489.63	$13,489.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $12,589.25 / $16,595.87	Professional		$0.60	$12,589.25	$16,595.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $8,128.31	Facility		$6,165.95	$6,165.95	$8,128.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $8,128.31	Professional		$6,165.95	$6,165.95	$8,128.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $10,232.93 / $12,302.69	Facility		$3,388.44	$10,232.93	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,677.35 / $7,762.47	Professional		$3,801.89	$4,677.35	$7,762.47