Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,760.83 / $11,220.18	Facility		$3,715.35	$6,760.83	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,187.76 / $2,630.27	Professional		$1,513.56	$2,187.76	$2,630.27
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,715.35 / $8,128.31	Facility		$1,819.70	$3,715.35	$8,128.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13,182.57 / $13,182.57 / $13,182.57	Professional		$13,182.57	$13,182.57	$13,182.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $5,888.44	Professional		$2,818.38	$3,630.78	$5,888.44
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Facility		$2,691.53	$2,691.53	$2,691.53
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,466.84 / $6,918.31	Professional		$2,951.21	$4,466.84	$6,918.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,760.83 / $11,220.18	Facility		$3,801.89	$6,760.83	$11,220.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,238.72 / $11,220.18	Professional		$1,513.56	$2,238.72	$11,220.18
Oscar Health 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
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,951.21	Facility		$2,691.53	$2,691.53	$2,951.21
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,951.21	Professional		$2,691.53	$2,691.53	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,235.94	Facility		$2,691.53	$2,691.53	$3,235.94
United Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,621.81 / $3,388.44	Professional		$1,148.15	$1,621.81	$3,388.44