Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $6,760.83 / $10,232.93	Facility		$3,311.31	$6,760.83	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,995.26 / $2,398.83	Professional		$1,479.11	$1,995.26	$2,398.83
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,949.84 / $1,949.84	Professional		$1,949.84	$1,949.84	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,890.45 / $8,511.38	Facility		$1,659.59	$3,890.45	$8,511.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $3,548.13	Professional		$2,884.03	$2,884.03	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $3,630.78	Professional		$1,174.90	$1,479.11	$3,630.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility		$2,511.89	$2,511.89	$2,511.89
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $4,365.16	Professional		$2,137.96	$2,511.89	$4,365.16
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,165.95 / $10,232.93	Facility		$3,388.44	$6,165.95	$10,232.93
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $8,912.51	Professional		$1,659.59	$2,041.74	$8,912.51
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,754.23 / $2,754.23	Facility		$2,511.89	$2,754.23	$2,754.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $2,754.23	Professional		$2,187.76	$2,511.89	$2,754.23
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,511.89 / $3,019.95	Facility		$1,380.38	$2,511.89	$3,019.95
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,479.11 / $3,715.35	Professional		$1,047.13	$1,479.11	$3,715.35