Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $5,888.44	Facility		$1,698.24	$3,467.37	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,071.52 / $1,548.82	Professional		$794.33	$1,071.52	$1,548.82
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Professional		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,819.70 / $3,981.07	Facility		$891.25	$1,819.70	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6,456.54 / $6,456.54 / $6,456.54	Professional		$6,456.54	$6,456.54	$6,456.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,819.70 / $2,884.03	Professional		$1,412.54	$1,819.70	$2,884.03
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility		$1,348.96	$1,348.96	$1,348.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $3,388.44	Professional		$1,445.44	$2,238.72	$3,388.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,388.44 / $5,888.44	Facility		$1,584.89	$3,388.44	$5,888.44
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,096.48 / $4,786.30	Professional		$794.33	$1,096.48	$4,786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Professional		$1,905.46	$1,905.46	$1,905.46
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,479.11 / $1,479.11	Facility		$1,348.96	$1,479.11	$1,479.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,479.11	Professional		$1,348.96	$1,348.96	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,621.81	Facility		$1,348.96	$1,348.96	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,659.59	Professional		$562.34	$794.33	$1,659.59