Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna 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
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,137.96 / $3,467.37	Professional		$1,318.26	$2,137.96	$3,467.37
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 $213.80 / $2,137.96 / $2,137.96	Professional		$213.80	$2,137.96	$2,137.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,388.44 / $3,388.44	Facility		$2,187.76	$3,388.44	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $3,388.44	Professional		$1,479.11	$1,479.11	$3,388.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,288.25	Professional		$1,047.13	$1,047.13	$1,288.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Professional		$1,698.24	$1,698.24	$1,698.24
Martin's Point 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
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,344.23 / $3,548.13	Professional		$1,659.59	$2,344.23	$3,548.13
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Facility		$3,388.44	$3,388.44	$3,388.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,630.78	Professional		$3,388.44	$3,388.44	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $588.84 / $4,168.69	Facility		$138.04	$588.84	$4,168.69
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $977.24 / $3,467.37	Professional		$173.78	$977.24	$3,467.37