Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $8,511.38 / $13,803.84	Facility		$2,691.53	$8,511.38	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,511.89 / $3,090.30	Professional		$478.63	$2,511.89	$3,090.30
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Professional		$2,454.71	$2,454.71	$2,454.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $5,011.87 / $10,715.19	Facility		$3,090.30	$5,011.87	$10,715.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15,135.61 / $15,135.61 / $15,135.61	Professional		$15,135.61	$15,135.61	$15,135.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $4,265.80 / $6,918.31	Professional		$3,311.31	$4,265.80	$6,918.31
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $5,248.07 / $7,943.28	Professional		$3,388.44	$5,248.07	$7,943.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $8,128.31 / $13,182.57	Facility		$2,691.53	$8,128.31	$13,182.57
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $2,570.40 / $11,220.18	Professional		$478.63	$2,570.40	$11,220.18
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 $3,162.28 / $3,467.37 / $3,467.37	Facility		$3,162.28	$3,467.37	$3,467.37
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,467.37	Professional		$3,162.28	$3,162.28	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,801.89	Facility		$3,162.28	$3,162.28	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,905.46 / $3,981.07	Professional		$1,318.26	$1,905.46	$3,981.07