Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $15,135.61	Facility		$3,715.35	$8,912.51	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,754.23 / $3,467.37	Professional		$1,778.28	$2,754.23	$3,467.37
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $4,786.30 / $10,471.29	Facility		$2,344.23	$4,786.30	$10,471.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16,982.44 / $16,982.44 / $16,982.44	Professional		$16,982.44	$16,982.44	$16,982.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $4,677.35 / $7,585.78	Professional		$3,715.35	$4,677.35	$7,585.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,981.07 / $6,606.93	Professional		$2,630.27	$3,981.07	$6,606.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $8,912.51 / $15,135.61	Facility		$3,715.35	$8,912.51	$15,135.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,818.38 / $12,589.25	Professional		$1,778.28	$2,818.38	$12,589.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,890.45	Facility		$3,467.37	$3,467.37	$3,890.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,890.45	Professional		$3,467.37	$3,467.37	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $4,168.69	Facility		$3,467.37	$3,467.37	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $4,365.16	Professional		$1,479.11	$2,089.30	$4,365.16