Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $7,585.78 / $12,882.50	Facility		$3,715.35	$7,585.78	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,388.44	Professional		$1,737.80	$2,344.23	$3,388.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,290.87	Professional		$2,290.87	$2,290.87	$2,290.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,981.07 / $8,709.64	Facility		$1,949.84	$3,981.07	$8,709.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14,125.38 / $14,125.38 / $14,125.38	Professional		$14,125.38	$14,125.38	$14,125.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,981.07 / $6,309.57	Professional		$3,090.30	$3,981.07	$6,309.57
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $5,495.41	Professional		$2,187.76	$3,388.44	$5,495.41
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $7,413.10 / $12,882.50	Facility		$3,467.37	$7,413.10	$12,882.50
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,398.83 / $8,709.64	Professional		$1,737.80	$2,398.83	$8,709.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,073.80 / $4,073.80 / $4,073.80	Professional		$4,073.80	$4,073.80	$4,073.80
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,235.94 / $3,630.78	Facility		$2,951.21	$3,235.94	$3,630.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,235.94 / $3,630.78	Professional		$2,951.21	$3,235.94	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,467.37	Facility		$2,951.21	$2,951.21	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,630.78	Professional		$1,230.27	$1,737.80	$3,630.78