Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,786.30 / $7,762.47	Facility		$2,137.96	$4,786.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,412.54 / $1,949.84	Professional		$1,047.13	$1,412.54	$1,949.84
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 / $4,265.80	Professional		$2,041.74	$2,630.27	$4,265.80
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 $1,318.26 / $2,238.72 / $3,467.37	Professional		$1,318.26	$2,238.72	$3,467.37
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,786.30 / $7,413.10	Facility		$2,041.74	$4,786.30	$7,413.10
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $6,309.57	Professional		$1,047.13	$1,445.44	$6,309.57
Oscar Health 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
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,949.84	Facility		$1,737.80	$1,737.80	$1,949.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,949.84	Professional		$1,737.80	$1,737.80	$1,949.84
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 $741.31 / $1,047.13 / $2,238.72	Professional		$741.31	$1,047.13	$2,238.72