Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,235.94 / $5,495.41	Professional		$2,691.53	$3,235.94	$5,495.41
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 $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $6,309.57	Facility		$3,801.89	$3,801.89	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,801.89	Professional		$3,235.94	$3,235.94	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $8,317.64 / $12,022.64	Professional		$5,754.40	$8,317.64	$12,022.64
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Facility		$6,309.57	$6,309.57	$6,309.57
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $6,309.57	Professional		$3,801.89	$4,466.84	$6,309.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Facility		$2,754.23	$2,754.23	$2,754.23
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $5,623.41	Professional		$2,691.53	$3,311.31	$5,623.41
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility		$10,000.00	$10,000.00	$10,000.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $8,511.38 / $12,302.69	Professional		$0.60	$8,511.38	$12,302.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $5,888.44	Facility		$4,265.80	$4,265.80	$5,888.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $6,025.60	Professional		$4,265.80	$4,265.80	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,762.47 / $9,332.54	Facility		$2,570.40	$7,762.47	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,388.44 / $5,623.41	Professional		$2,818.38	$3,388.44	$5,623.41