Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,332.54 / $15,848.93	Facility		$4,570.88	$9,332.54	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,884.03 / $3,981.07	Professional		$2,137.96	$2,884.03	$3,981.07
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,818.38 / $2,818.38	Professional		$2,818.38	$2,818.38	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,495.41 / $12,302.69	Facility		$2,398.83	$5,495.41	$12,302.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17,378.01 / $17,378.01 / $17,378.01	Professional		$17,378.01	$17,378.01	$17,378.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $4,897.79 / $7,762.47	Professional		$3,801.89	$4,897.79	$7,762.47
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Facility		$3,630.78	$3,630.78	$3,630.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $4,168.69 / $6,760.83	Professional		$2,691.53	$4,168.69	$6,760.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $9,120.11 / $15,848.93	Facility		$4,265.80	$9,120.11	$15,848.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $10,715.19	Professional		$2,137.96	$2,951.21	$10,715.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $3,630.78	Facility		$1,023.29	$1,023.29	$3,630.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $3,630.78 / $3,630.78	Professional		$1,023.29	$3,630.78	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $4,365.16	Facility		$3,630.78	$3,630.78	$4,365.16
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $4,466.84	Professional		$1,513.56	$2,137.96	$4,466.84