Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,801.89 / $6,309.57	Facility		$2,089.30	$3,801.89	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $1,548.82	Professional		$912.01	$1,230.27	$1,548.82
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Professional		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $2,089.30 / $4,570.88	Facility		$1,023.29	$2,089.30	$4,570.88
Cigna 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
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,089.30 / $3,311.31	Professional		$1,621.81	$2,089.30	$3,311.31
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility		$1,548.82	$1,548.82	$1,548.82
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,570.40 / $3,890.45	Professional		$1,659.59	$2,570.40	$3,890.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,801.89 / $6,309.57	Facility		$2,187.76	$3,801.89	$6,309.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,258.93 / $5,495.41	Professional		$912.01	$1,258.93	$5,495.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,698.24 / $1,698.24	Facility		$1,548.82	$1,698.24	$1,698.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,698.24	Professional		$1,548.82	$1,548.82	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,862.09	Facility		$1,548.82	$1,548.82	$1,862.09
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $912.01 / $1,905.46	Professional		$645.65	$912.01	$1,905.46