Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $5,495.41 / $9,332.54	Facility		$2,691.53	$5,495.41	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $2,570.40	Professional		$1,288.25	$1,737.80	$2,570.40
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $6,309.57	Facility		$1,412.54	$2,884.03	$6,309.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10,232.93 / $10,232.93 / $10,232.93	Professional		$10,232.93	$10,232.93	$10,232.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,884.03 / $4,570.88	Professional		$2,238.72	$2,884.03	$4,570.88
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,137.96	Facility		$2,137.96	$2,137.96	$2,137.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,548.13 / $5,370.32	Professional		$2,290.87	$3,548.13	$5,370.32
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,370.32 / $9,332.54	Facility		$2,511.89	$5,370.32	$9,332.54
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,737.80 / $6,309.57	Professional		$1,288.25	$1,737.80	$6,309.57
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,344.23 / $2,344.23	Facility		$2,137.96	$2,344.23	$2,344.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,344.23	Professional		$2,137.96	$2,137.96	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,570.40	Facility		$2,137.96	$2,137.96	$2,570.40
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,288.25 / $2,630.27	Professional		$891.25	$1,288.25	$2,630.27