Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,089.30 / $3,311.31	Facility		$933.25	$2,089.30	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $616.60 / $870.96	Professional		$501.19	$616.60	$870.96
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 $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,174.90 / $2,570.40	Facility		$512.86	$1,174.90	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $1,096.48	Professional		$870.96	$870.96	$1,096.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $1,096.48	Professional		$354.81	$446.68	$1,096.48
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $758.58 / $1,318.26	Professional		$645.65	$758.58	$1,318.26
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,949.84 / $3,162.28	Facility		$891.25	$1,949.84	$3,162.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $645.65 / $2,691.53	Professional		$501.19	$645.65	$2,691.53
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $758.58 / $831.76	Facility		$588.84	$758.58	$831.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $831.76	Professional		$588.84	$758.58	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $758.58 / $912.01	Facility		$416.87	$758.58	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $1,148.15	Professional		$316.23	$457.09	$1,148.15