Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,606.93 / $13,489.63 / $22,908.68	Facility		$6,606.93	$13,489.63	$22,908.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $4,265.80 / $5,011.87	Professional		$2,951.21	$4,265.80	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $7,079.46 / $15,488.17	Facility		$3,467.37	$7,079.46	$15,488.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25,118.86 / $25,118.86 / $25,118.86	Professional		$25,118.86	$25,118.86	$25,118.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $7,079.46 / $11,220.18	Professional		$5,495.41	$7,079.46	$11,220.18
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility		$5,248.07	$5,248.07	$5,248.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $8,709.64 / $13,182.57	Professional		$5,623.41	$8,709.64	$13,182.57
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $13,182.57 / $22,908.68	Facility		$6,165.95	$13,182.57	$22,908.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $4,265.80 / $21,379.62	Professional		$3,162.28	$4,265.80	$21,379.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $7,413.10 / $7,413.10	Professional		$7,413.10	$7,413.10	$7,413.10
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,754.40 / $5,754.40	Facility		$5,248.07	$5,754.40	$5,754.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $5,754.40	Professional		$5,248.07	$5,248.07	$5,754.40
United Facility/Professional Facility Modifier Low / Median / High Price $5,248.07 / $5,248.07 / $6,309.57	Facility		$5,248.07	$5,248.07	$6,309.57
United Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,162.28 / $6,456.54	Professional		$2,187.76	$3,162.28	$6,456.54