Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $19,054.61 / $26,915.35	Facility		$10,471.29	$19,054.61	$26,915.35
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $15,848.93 / $26,302.68	Facility		$3,630.78	$15,848.93	$26,302.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $18,620.87 / $28,183.83	Facility		$10,471.29	$18,620.87	$28,183.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20,417.38 / $20,417.38 / $24,547.09	Facility		$20,417.38	$20,417.38	$24,547.09
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $8,317.64 / $17,378.01 / $23,988.33	Facility		$8,317.64	$17,378.01	$23,988.33
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $10,471.29 / $18,620.87 / $25,703.96	Facility		$10,471.29	$18,620.87	$25,703.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $7,943.28 / $9,120.11 / $12,882.50	Facility		$7,943.28	$9,120.11	$12,882.50
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $13,803.84 / $23,988.33	Facility		$3,890.45	$13,803.84	$23,988.33