Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,905.46 / $2,398.83	Professional		$1,548.82	$1,905.46	$2,398.83
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,041.74	Professional		$1,737.80	$2,041.74	$2,041.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,398.83 / $2,398.83	Facility		$2,041.74	$2,398.83	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $3,981.07	Professional		$2,041.74	$2,041.74	$3,981.07
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,691.53	Professional		$2,187.76	$2,187.76	$2,691.53
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,454.71	Professional		$1,548.82	$1,949.84	$2,454.71
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,398.83 / $2,398.83	Professional		$2,398.83	$2,398.83	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $295.12 / $1,995.26	Facility		$162.18	$295.12	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,288.25 / $2,511.89	Professional		$912.01	$1,288.25	$2,511.89