Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,585.78 / $13,803.84 / $22,387.21	Facility		$7,585.78	$13,803.84	$22,387.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,365.16 / $5,370.32	Professional		$2,951.21	$4,365.16	$5,370.32
Capital Blue Cross 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
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,585.78 / $16,218.10	Facility		$3,630.78	$7,585.78	$16,218.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26,302.68 / $26,302.68 / $26,302.68	Professional		$26,302.68	$26,302.68	$26,302.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $11,748.98	Professional		$5,754.40	$7,413.10	$11,748.98
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5,888.44 / $9,120.11 / $13,803.84	Professional		$5,888.44	$9,120.11	$13,803.84
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $13,803.84 / $22,387.21	Facility		$7,762.47	$13,803.84	$22,387.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $4,466.84 / $19,498.45	Professional		$3,090.30	$4,466.84	$19,498.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Professional		$7,762.47	$7,762.47	$7,762.47
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $6,025.60 / $6,025.60	Facility		$5,495.41	$6,025.60	$6,025.60
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,623.41 / $6,025.60	Professional		$5,495.41	$5,623.41	$6,025.60
United Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $6,606.93	Facility		$5,495.41	$5,495.41	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $6,918.31	Professional		$2,290.87	$3,311.31	$6,918.31