Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $8,709.64 / $14,454.40	Facility		$4,786.30	$8,709.64	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $3,388.44	Professional		$1,949.84	$2,818.38	$3,388.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,786.30 / $10,471.29	Facility		$2,344.23	$4,786.30	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Professional		$16,982.44	$16,982.44	$16,982.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $4,677.35 / $7,585.78	Professional		$3,630.78	$4,677.35	$7,585.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $5,754.40 / $8,709.64	Professional		$3,801.89	$5,754.40	$8,709.64
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $8,709.64 / $14,454.40	Facility		$4,897.79	$8,709.64	$14,454.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,884.03 / $12,302.69	Professional		$1,949.84	$2,884.03	$12,302.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,128.61 / $5,495.41	Professional		$3,467.37	$5,128.61	$5,495.41
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,801.89 / $3,801.89	Facility		$3,467.37	$3,801.89	$3,801.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,801.89	Professional		$3,467.37	$3,467.37	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,168.69	Facility		$3,467.37	$3,467.37	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $4,365.16	Professional		$1,479.11	$2,089.30	$4,365.16