Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,584.89 / $2,630.27	Facility		$831.76	$1,584.89	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $501.19 / $707.95	Professional		$416.87	$501.19	$707.95
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $977.24 / $2,187.76	Facility		$426.58	$977.24	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $831.76	Professional		$676.08	$676.08	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $933.25	Professional		$302.00	$380.19	$933.25
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $645.65 / $1,122.02	Professional		$549.54	$645.65	$1,122.02
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,584.89 / $2,630.27	Facility		$831.76	$1,584.89	$2,630.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $524.81 / $1,584.89	Professional		$426.58	$524.81	$1,584.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $645.65 / $660.69	Professional		$562.34	$645.65	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $645.65 / $776.25	Facility		$354.81	$645.65	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $954.99	Professional		$269.15	$380.19	$954.99