Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,000.00 / $1,288.25	Professional		$630.96	$1,000.00	$1,288.25
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $1,778.28 / $1,778.28	Professional		$177.83	$1,778.28	$1,778.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $2,089.30	Professional		$426.58	$426.58	$2,089.30
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,000.00	Professional		$812.83	$812.83	$1,000.00
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,380.38	Professional		$758.58	$1,000.00	$1,380.38
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,737.80	Professional		$1,380.38	$1,380.38	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $912.01 / $1,584.89	Facility		$112.20	$912.01	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $2,089.30	Professional		$891.25	$1,122.02	$2,089.30