Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $8,317.64 / $14,125.38	Facility		$4,073.80	$8,317.64	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $3,235.94	Professional		$1,905.46	$2,570.40	$3,235.94
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Professional		$2,511.89	$2,511.89	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,897.79 / $10,964.78	Facility		$2,137.96	$4,897.79	$10,964.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Professional		$15,488.17	$15,488.17	$15,488.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $4,365.16 / $6,918.31	Professional		$3,388.44	$4,365.16	$6,918.31
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,370.32 / $8,128.31	Professional		$3,467.37	$5,370.32	$8,128.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $8,128.31 / $14,125.38	Facility		$3,801.89	$8,128.31	$14,125.38
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,630.27 / $11,481.54	Professional		$1,905.46	$2,630.27	$11,481.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $4,466.84 / $4,466.84 / $4,466.84	Professional		$4,466.84	$4,466.84	$4,466.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Facility		$3,235.94	$3,235.94	$3,235.94
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,235.94	Professional		$3,235.94	$3,235.94	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,235.94 / $3,801.89	Facility		$3,235.94	$3,235.94	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,905.46 / $3,981.07	Professional		$1,348.96	$1,905.46	$3,981.07