Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,235.94 / $5,370.32	Facility		$1,778.28	$3,235.94	$5,370.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,513.56	Professional		$851.14	$1,047.13	$1,513.56
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Professional		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,778.28 / $4,466.84	Facility		$870.96	$1,778.28	$4,466.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,862.09	Professional		$1,513.56	$1,513.56	$1,862.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $776.25 / $1,905.46	Professional		$616.60	$776.25	$1,905.46
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Facility		$1,318.26	$1,318.26	$1,318.26
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,318.26 / $2,238.72	Professional		$1,122.02	$1,318.26	$2,238.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,235.94 / $5,370.32	Facility		$1,862.09	$3,235.94	$5,370.32
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $4,677.35	Professional		$851.14	$1,071.52	$4,677.35
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,445.44 / $1,445.44	Facility		$1,318.26	$1,445.44	$1,445.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,318.26 / $1,445.44	Professional		$1,148.15	$1,318.26	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,318.26 / $1,548.82	Facility		$724.44	$1,318.26	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $776.25 / $1,949.84	Professional		$549.54	$776.25	$1,949.84