Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $5,495.41 / $9,120.11	Facility		$3,019.95	$5,495.41	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,137.96	Professional		$1,318.26	$1,778.28	$2,137.96
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,019.95 / $6,606.93	Facility		$1,479.11	$3,019.95	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,715.19 / $10,715.19 / $10,715.19	Professional		$10,715.19	$10,715.19	$10,715.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $4,786.30	Professional		$2,290.87	$2,951.21	$4,786.30
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,630.78 / $5,495.41	Professional		$2,398.83	$3,630.78	$5,495.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,495.41 / $9,120.11	Facility		$3,090.30	$5,495.41	$9,120.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $7,762.47	Professional		$1,318.26	$1,778.28	$7,762.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,398.83 / $2,398.83	Facility		$2,187.76	$2,398.83	$2,398.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,398.83	Professional		$2,187.76	$2,187.76	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,630.27	Facility		$2,187.76	$2,187.76	$2,630.27
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,754.23	Professional		$933.25	$1,318.26	$2,754.23