Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $7,585.78 / $11,481.54	Facility		$3,801.89	$7,585.78	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $9,332.54	Professional		$3,801.89	$3,801.89	$9,332.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,073.80 / $8,128.31	Facility		$3,467.37	$4,073.80	$8,128.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Professional		$3,890.45	$3,890.45	$3,890.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Professional		$3,801.89	$3,801.89	$3,801.89
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $5,623.41 / $6,606.93 / $6,606.93	Professional		$5,623.41	$6,606.93	$6,606.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $8,128.31	Facility		$2,630.27	$2,630.27	$8,128.31
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $6,918.31 / $11,481.54	Facility		$3,801.89	$6,918.31	$11,481.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $11,220.18	Professional		$3,801.89	$3,801.89	$11,220.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,265.80	Facility		$3,715.35	$3,715.35	$4,265.80
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $4,265.80	Professional		$3,715.35	$3,715.35	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $3,801.89	Facility		$3,801.89	$3,801.89	$3,801.89
United Facility/Professional Professional Modifier Low / Median / High Price $3,801.89 / $3,801.89 / $5,248.07	Professional		$3,801.89	$3,801.89	$5,248.07