Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $10,000.00 / $14,454.40	Facility		$4,786.30	$10,000.00	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $3,890.45	Professional		$2,454.71	$2,818.38	$3,890.45
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
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 $2,344.23 / $5,495.41 / $12,022.64	Facility		$2,344.23	$5,495.41	$12,022.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $4,073.80 / $5,011.87	Professional		$1,621.81	$4,073.80	$5,011.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,089.30 / $5,128.61	Professional		$1,659.59	$2,089.30	$5,128.61
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,235.94 / $6,165.95	Professional		$2,630.27	$3,235.94	$6,165.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $9,549.93 / $14,454.40	Facility		$4,786.30	$9,549.93	$14,454.40
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $14,454.40	Professional		$2,454.71	$3,019.95	$14,454.40
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,890.45 / $3,890.45	Facility		$3,548.13	$3,890.45	$3,890.45
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,548.13 / $3,890.45	Professional		$3,090.30	$3,548.13	$3,890.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,548.13 / $4,265.80	Facility		$1,949.84	$3,548.13	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,089.30 / $5,248.07	Professional		$1,479.11	$2,089.30	$5,248.07