Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,235.94 / $5,370.32	Facility		$1,778.28	$3,235.94	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,047.13 / $1,258.93	Professional		$776.25	$1,047.13	$1,258.93
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,778.28 / $3,890.45	Facility		$870.96	$1,778.28	$3,890.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,309.57 / $6,309.57 / $6,309.57	Professional		$6,309.57	$6,309.57	$6,309.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,778.28 / $2,818.38	Professional		$1,380.38	$1,778.28	$2,818.38
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,187.76 / $3,311.31	Professional		$1,412.54	$2,187.76	$3,311.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,235.94 / $5,370.32	Facility		$1,862.09	$3,235.94	$5,370.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,071.52 / $3,235.94	Professional		$776.25	$1,071.52	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $2,041.74	Professional		$1,318.26	$1,949.84	$2,041.74
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,445.44	Facility		$1,318.26	$1,445.44	$1,445.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,445.44	Professional		$1,318.26	$1,318.26	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,548.82	Facility		$1,318.26	$1,318.26	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,621.81	Professional		$549.54	$776.25	$1,621.81