Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,025.60 / $12,882.50 / $21,877.62	Facility		$6,025.60	$12,882.50	$21,877.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,073.80 / $5,754.40	Professional		$3,019.95	$4,073.80	$5,754.40
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $7,762.47 / $16,982.44	Facility		$3,311.31	$7,762.47	$16,982.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23,988.33 / $23,988.33 / $23,988.33	Professional		$23,988.33	$23,988.33	$23,988.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5,248.07 / $6,760.83 / $10,964.78	Professional		$5,248.07	$6,760.83	$10,964.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $5,011.87	Facility		$5,011.87	$5,011.87	$5,011.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $5,754.40 / $9,332.54	Professional		$3,715.35	$5,754.40	$9,332.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $12,589.25 / $20,892.96	Facility		$5,623.41	$12,589.25	$20,892.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $4,073.80 / $14,791.08	Professional		$3,019.95	$4,073.80	$14,791.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Professional		$7,079.46	$7,079.46	$7,079.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Facility		$5,495.41	$5,495.41	$5,495.41
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $5,495.41 / $5,495.41 / $5,495.41	Professional		$5,495.41	$5,495.41	$5,495.41
United Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $5,011.87 / $6,025.60	Facility		$5,011.87	$5,011.87	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,019.95 / $6,309.57	Professional		$2,089.30	$3,019.95	$6,309.57