Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $5,754.40 / $9,772.37	Facility		$2,818.38	$5,754.40	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,778.28 / $2,570.40	Professional		$1,318.26	$1,778.28	$2,570.40
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,388.44 / $7,585.78	Facility		$1,479.11	$3,388.44	$7,585.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,162.28	Professional		$2,570.40	$2,570.40	$3,162.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,318.26 / $3,235.94	Professional		$1,047.13	$1,318.26	$3,235.94
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,238.72 / $3,890.45	Professional		$1,905.46	$2,238.72	$3,890.45
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,623.41 / $9,772.37	Facility		$2,630.27	$5,623.41	$9,772.37
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $7,943.28	Professional		$1,479.11	$1,819.70	$7,943.28
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $2,238.72	Professional		$1,949.84	$2,238.72	$2,238.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,238.72 / $2,691.53	Facility		$1,230.27	$2,238.72	$2,691.53
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $3,311.31	Professional		$933.25	$1,318.26	$3,311.31