Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,606.93 / $11,220.18	Facility		$3,311.31	$6,606.93	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $2,570.40	Professional		$1,548.82	$2,089.30	$2,570.40
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Professional		$1,995.26	$1,995.26	$1,995.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,548.13 / $7,762.47	Facility		$1,737.80	$3,548.13	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $12,302.69 / $12,302.69	Professional		$12,302.69	$12,302.69	$12,302.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,467.37 / $5,623.41	Professional		$2,691.53	$3,467.37	$5,623.41
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,265.80 / $6,456.54	Professional		$2,754.23	$4,265.80	$6,456.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $6,606.93 / $11,220.18	Facility		$3,019.95	$6,606.93	$11,220.18
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,089.30 / $10,715.19	Professional		$1,548.82	$2,089.30	$10,715.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,818.38	Facility		$2,570.40	$2,570.40	$2,818.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $2,630.27	Professional		$2,570.40	$2,570.40	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,090.30	Facility		$2,570.40	$2,570.40	$3,090.30
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,548.82 / $3,235.94	Professional		$1,071.52	$1,548.82	$3,235.94