Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,174.90 / $1,778.28	Facility		$562.34	$1,174.90	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $416.87	Professional		$257.04	$346.74	$416.87
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 $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $676.08 / $1,445.44	Facility		$416.87	$676.08	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $933.25	Professional		$446.68	$575.44	$933.25
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $707.95 / $1,071.52	Professional		$457.09	$707.95	$1,071.52
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,071.52 / $1,778.28	Facility		$588.84	$1,071.52	$1,778.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $346.74 / $1,071.52	Professional		$257.04	$346.74	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $467.74 / $467.74	Facility		$426.58	$467.74	$467.74
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $426.58 / $467.74	Professional		$416.87	$426.58	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $512.86	Facility		$426.58	$426.58	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $257.04 / $537.03	Professional		$177.83	$257.04	$537.03