Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,248.07 / $8,511.38	Facility		$2,344.23	$5,248.07	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $2,238.72	Professional		$1,174.90	$1,584.89	$2,238.72
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,090.30 / $6,606.93	Facility		$1,905.46	$3,090.30	$6,606.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $9,332.54 / $9,332.54	Professional		$9,332.54	$9,332.54	$9,332.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $4,168.69	Professional		$2,041.74	$2,630.27	$4,168.69
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Facility		$1,949.84	$1,949.84	$1,949.84
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $3,235.94 / $4,897.79	Professional		$2,089.30	$3,235.94	$4,897.79
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $4,897.79 / $8,128.31	Facility		$2,290.87	$4,897.79	$8,128.31
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,584.89 / $5,754.40	Professional		$1,174.90	$1,584.89	$5,754.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,137.96	Facility		$1,949.84	$1,949.84	$2,137.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,137.96	Professional		$1,949.84	$1,949.84	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $2,344.23	Facility		$1,949.84	$1,949.84	$2,344.23
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,174.90 / $2,398.83	Professional		$812.83	$1,174.90	$2,398.83