Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $8,317.64 / $12,589.25	Facility		$4,168.69	$8,317.64	$12,589.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $2,818.38	Professional		$1,819.70	$2,454.71	$2,818.38
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,344.23	Professional		$2,344.23	$2,344.23	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $4,897.79 / $10,232.93	Facility		$2,951.21	$4,897.79	$10,232.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,454.40 / $14,454.40 / $14,454.40	Professional		$14,454.40	$14,454.40	$14,454.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,073.80 / $6,606.93	Professional		$3,162.28	$4,073.80	$6,606.93
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,365.16 / $6,760.83	Professional		$3,019.95	$4,365.16	$6,760.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,585.78 / $12,589.25	Facility		$4,168.69	$7,585.78	$12,589.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $7,585.78	Professional		$1,819.70	$2,454.71	$7,585.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $4,265.80	Professional		$4,265.80	$4,265.80	$4,265.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,311.31	Facility		$3,019.95	$3,019.95	$3,311.31
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,311.31	Professional		$3,019.95	$3,019.95	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,630.78	Facility		$3,019.95	$3,019.95	$3,630.78
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,801.89	Professional		$1,258.93	$1,819.70	$3,801.89