Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,786.30 / $8,511.38	Facility		$3,090.30	$4,786.30	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,090.30 / $3,630.78	Professional		$2,884.03	$3,090.30	$3,630.78
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $2,754.23 / $5,370.32	Facility		$2,344.23	$2,754.23	$5,370.32
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,754.23 / $2,754.23	Professional		$2,754.23	$2,754.23	$2,754.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Professional		$3,090.30	$3,090.30	$3,090.30
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $4,570.88 / $7,943.28	Facility		$3,090.30	$4,570.88	$7,943.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,090.30 / $4,365.16	Professional		$2,884.03	$3,090.30	$4,365.16
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $4,168.69	Professional		$3,019.95	$3,019.95	$4,168.69