Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $870.96 / $1,412.54	Facility		$389.05	$870.96	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $371.54	Professional		$213.80	$263.03	$371.54
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 $251.19 / $251.19 / $588.84	Professional		$251.19	$251.19	$588.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $524.81 / $1,096.48	Facility		$316.23	$524.81	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $707.95	Professional		$338.84	$436.52	$707.95
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $380.19 / $676.08	Professional		$269.15	$380.19	$676.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $831.76 / $1,348.96	Facility		$380.19	$831.76	$1,348.96
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $954.99	Professional		$213.80	$263.03	$954.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $398.11 / $398.11	Facility		$323.59	$398.11	$398.11
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $323.59 / $398.11	Professional		$288.40	$323.59	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $389.05	Facility		$323.59	$323.59	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $426.58	Professional		$134.90	$194.98	$426.58