Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $5,128.61 / $8,317.64	Facility		$2,290.87	$5,128.61	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,187.76	Professional		$1,148.15	$1,548.82	$2,187.76
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Professional		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,019.95 / $6,456.54	Facility		$1,862.09	$3,019.95	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Professional		$9,120.11	$9,120.11	$9,120.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,570.40 / $4,073.80	Professional		$1,995.26	$2,570.40	$4,073.80
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,162.28 / $4,786.30	Professional		$2,041.74	$3,162.28	$4,786.30
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $4,786.30 / $7,943.28	Facility		$2,238.72	$4,786.30	$7,943.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $5,623.41	Professional		$1,148.15	$1,548.82	$5,623.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $2,691.53	Professional		$2,691.53	$2,691.53	$2,691.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $2,089.30	Facility		$1,905.46	$2,089.30	$2,089.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,089.30	Professional		$1,905.46	$1,905.46	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,290.87	Facility		$1,905.46	$1,905.46	$2,290.87
United Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $2,344.23	Professional		$794.33	$1,148.15	$2,344.23