Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,754.40 / $8,511.38	Facility		$1,047.13	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,778.28 / $2,398.83	Professional		$691.83	$1,778.28	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,691.53 / $2,754.23	Professional		$1,047.13	$2,691.53	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Facility		$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,454.71 / $9,332.54	Professional		$2,238.72	$2,454.71	$9,332.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,388.44 / $3,981.07	Professional		$2,290.87	$3,388.44	$3,981.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $1,047.13	Professional		$588.84	$588.84	$1,047.13
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $4,265.80 / $8,317.64	Facility		$1,023.29	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,778.28 / $2,398.83	Professional		$691.83	$1,778.28	$2,398.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $645.65 / $2,630.27	Facility		$512.86	$645.65	$2,630.27
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $691.83 / $2,691.53	Professional		$512.86	$691.83	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,981.07 / $22,387.21	Facility		$2,137.96	$3,981.07	$22,387.21
United Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $2,398.83 / $4,570.88	Professional		$645.65	$2,398.83	$4,570.88