Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,235.94 / $5,495.41	Facility		$1,621.81	$3,235.94	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,479.11	Professional		$758.58	$1,023.29	$1,479.11
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Professional		$977.24	$977.24	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,905.46 / $4,265.80	Facility		$851.14	$1,905.46	$4,265.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,025.60 / $6,025.60 / $6,025.60	Professional		$6,025.60	$6,025.60	$6,025.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,698.24 / $2,754.23	Professional		$1,318.26	$1,698.24	$2,754.23
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $3,162.28	Professional		$1,380.38	$2,089.30	$3,162.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,235.94 / $5,495.41	Facility		$1,479.11	$3,235.94	$5,495.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,047.13 / $3,715.35	Professional		$758.58	$1,047.13	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Professional		$1,778.28	$1,778.28	$1,778.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,288.25	Professional		$1,258.93	$1,258.93	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,513.56	Facility		$1,258.93	$1,258.93	$1,513.56
United Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $758.58 / $1,584.89	Professional		$524.81	$758.58	$1,584.89