Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,495.41	Facility		$1,819.70	$3,630.78	$5,495.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,511.89	Professional		$1,819.70	$1,819.70	$2,511.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $1,949.84 / $5,011.87	Facility		$1,659.59	$1,949.84	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,162.28 / $3,162.28	Professional		$2,691.53	$3,162.28	$3,162.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,311.31 / $5,495.41	Facility		$1,819.70	$3,311.31	$5,495.41
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $5,011.87	Professional		$1,819.70	$1,819.70	$5,011.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $2,089.30	Facility		$1,778.28	$2,041.74	$2,089.30
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,041.74 / $2,089.30	Professional		$1,778.28	$2,041.74	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,041.74 / $2,511.89	Professional		$1,819.70	$2,041.74	$2,511.89