Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $10,471.29 / $15,848.93	Facility		$6,165.95	$10,471.29	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,025.60 / $7,244.36	Professional		$5,754.40	$6,025.60	$7,244.36
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,623.41 / $6,606.93 / $9,772.37	Facility		$5,623.41	$6,606.93	$9,772.37
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $6,606.93 / $6,606.93 / $6,606.93	Professional		$6,606.93	$6,606.93	$6,606.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Facility		$6,165.95	$6,165.95	$6,165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,165.95 / $6,165.95 / $6,165.95	Professional		$6,165.95	$6,165.95	$6,165.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $6,760.83 / $6,760.83	Professional		$2,089.30	$6,760.83	$6,760.83
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $794.33 / $1,174.90	Professional		$676.08	$794.33	$1,174.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $6,165.95 / $9,332.54 / $15,488.17	Facility		$6,165.95	$9,332.54	$15,488.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $5,754.40 / $6,165.95 / $8,317.64	Professional		$5,754.40	$6,165.95	$8,317.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $0.60 / $2,187.76 / $2,630.27	Professional		$0.60	$2,187.76	$2,630.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Professional		$2,137.96	$2,137.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility		$3,311.31	$3,311.31	$3,311.31
United Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,918.31 / $7,943.28	Professional		$6,456.54	$6,918.31	$7,943.28