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 / $251.19	Professional		$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $501.19 / $1,096.48	Facility		$213.80	$501.19	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $467.74	Professional		$371.54	$371.54	$467.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $467.74	Professional		$151.36	$190.55	$467.74
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 / $323.59 / $562.34	Professional		$269.15	$323.59	$562.34
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 $234.42 / $275.42 / $1,148.15	Professional		$234.42	$275.42	$1,148.15
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 $281.84 / $323.59 / $398.11	Professional		$281.84	$323.59	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $323.59 / $389.05	Facility		$177.83	$323.59	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $213.80 / $489.78	Professional		$144.54	$213.80	$489.78