Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $12,882.50 / $20,892.96	Facility		$5,754.40	$12,882.50	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $5,495.41	Professional		$2,884.03	$3,890.45	$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 $3,715.35 / $3,715.35 / $7,762.47	Professional		$3,715.35	$3,715.35	$7,762.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $7,244.36 / $16,218.10	Facility		$3,235.94	$7,244.36	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $22,908.68	Professional		$22,908.68	$22,908.68	$22,908.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,011.87 / $6,456.54 / $10,471.29	Professional		$5,011.87	$6,456.54	$10,471.29
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,548.13 / $5,495.41 / $9,120.11	Professional		$3,548.13	$5,495.41	$9,120.11
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $12,302.69 / $19,952.62	Facility		$5,623.41	$12,302.69	$19,952.62
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,890.45 / $14,125.38	Professional		$2,884.03	$3,890.45	$14,125.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6,760.83 / $6,760.83 / $6,760.83	Professional		$6,760.83	$6,760.83	$6,760.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $5,248.07	Facility		$891.25	$891.25	$5,248.07
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $4,786.30 / $4,897.79	Professional		$891.25	$4,786.30	$4,897.79
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,754.40	Facility		$4,786.30	$4,786.30	$5,754.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $6,025.60	Professional		$1,995.26	$2,884.03	$6,025.60