Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,047.13 / $1,584.89	Facility		$501.19	$1,047.13	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $426.58	Professional		$251.19	$309.03	$426.58
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $588.84 / $1,288.25	Facility		$257.04	$588.84	$1,288.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $549.54	Professional		$436.52	$436.52	$549.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $223.87 / $549.54	Professional		$177.83	$223.87	$549.54
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $660.69	Professional		$323.59	$380.19	$660.69
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $954.99 / $1,584.89	Facility		$524.81	$954.99	$1,584.89
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $954.99	Professional		$251.19	$309.03	$954.99
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $407.38 / $416.87	Facility		$380.19	$407.38	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $416.87	Professional		$338.84	$407.38	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $380.19 / $457.09	Facility		$208.93	$380.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $575.44	Professional		$158.49	$229.09	$575.44