Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $3,235.94	Facility		$1,071.52	$1,949.84	$3,235.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $758.58	Professional		$436.52	$630.96	$758.58
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,071.52 / $2,344.23	Facility		$524.81	$1,071.52	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,071.52 / $1,698.24	Professional		$831.76	$1,071.52	$1,698.24
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,318.26 / $1,995.26	Professional		$851.14	$1,318.26	$1,995.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $3,235.94	Facility		$1,122.02	$1,949.84	$3,235.94
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $1,949.84	Professional		$467.74	$630.96	$1,949.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $870.96 / $870.96	Facility		$794.33	$870.96	$870.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $870.96	Professional		$794.33	$794.33	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $954.99	Facility		$794.33	$794.33	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $467.74 / $977.24	Professional		$331.13	$467.74	$977.24