Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,248.07 / $8,912.51	Facility		$2,570.40	$5,248.07	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $2,398.83	Professional		$1,230.27	$1,659.59	$2,398.83
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $3,090.30 / $6,918.31	Facility		$1,348.96	$3,090.30	$6,918.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Professional		$9,772.37	$9,772.37	$9,772.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,754.23 / $4,365.16	Professional		$2,137.96	$2,754.23	$4,365.16
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $3,801.89	Professional		$1,513.56	$2,344.23	$3,801.89
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $8,912.51	Facility		$2,398.83	$5,128.61	$8,912.51
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,659.59 / $6,025.60	Professional		$1,230.27	$1,659.59	$6,025.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,089.30	Professional		$2,041.74	$2,041.74	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,454.71	Facility		$2,041.74	$2,041.74	$2,454.71
United Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,511.89	Professional		$851.14	$1,230.27	$2,511.89