Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $19,498.45 / $31,622.78	Facility		$5,495.41	$19,498.45	$31,622.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $6,025.60 / $7,413.10	Professional		$2,691.53	$6,025.60	$7,413.10
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $5,888.44 / $5,888.44	Professional		$5,888.44	$5,888.44	$5,888.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $12,022.64 / $25,703.96	Facility		$7,413.10	$12,022.64	$25,703.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36,307.81 / $36,307.81 / $36,307.81	Professional		$36,307.81	$36,307.81	$36,307.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $10,232.93 / $16,595.87	Professional		$7,943.28	$10,232.93	$16,595.87
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $7,585.78	Facility		$7,585.78	$7,585.78	$7,585.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $9,120.11 / $14,454.40	Professional		$5,623.41	$9,120.11	$14,454.40
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $19,498.45 / $31,622.78	Facility		$5,495.41	$19,498.45	$31,622.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $6,165.95 / $26,915.35	Professional		$2,691.53	$6,165.95	$26,915.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Facility		$8,317.64	$8,317.64	$8,317.64
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $8,317.64 / $8,317.64 / $8,317.64	Professional		$8,317.64	$8,317.64	$8,317.64
United Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $7,585.78 / $9,120.11	Facility		$7,585.78	$7,585.78	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,570.88 / $9,549.93	Professional		$3,162.28	$4,570.88	$9,549.93