Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,481.54 / $15,135.61	Facility		$5,011.87	$11,481.54	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $5,370.32	Professional		$4,897.79	$4,897.79	$5,370.32
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $5,370.32 / $8,511.38	Facility		$4,570.88	$5,370.32	$8,511.38
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $5,128.61 / $5,128.61 / $5,128.61	Professional		$5,128.61	$5,128.61	$5,128.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Professional		$4,897.79	$4,897.79	$4,897.79
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $7,413.10 / $8,511.38 / $8,511.38	Professional		$7,413.10	$8,511.38	$8,511.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $9,772.37 / $15,135.61	Facility		$5,011.87	$9,772.37	$15,135.61
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $5,011.87 / $13,803.84	Professional		$2,511.89	$5,011.87	$13,803.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,202.26	Facility		$977.24	$1,148.15	$1,202.26
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,148.15 / $1,202.26	Professional		$977.24	$1,148.15	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $4,897.79	Facility		$4,897.79	$4,897.79	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $4,897.79 / $4,897.79 / $6,760.83	Professional		$4,897.79	$4,897.79	$6,760.83