Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,862.09 / $1,862.09	Facility		$575.44	$1,862.09	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $660.69	Professional		$407.38	$549.54	$660.69
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 $537.03 / $537.03 / $1,071.52	Professional		$537.03	$537.03	$1,071.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,096.48 / $2,344.23	Facility		$660.69	$1,096.48	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Professional		$3,311.31	$3,311.31	$3,311.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,479.11	Professional		$724.44	$912.01	$1,479.11
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $776.25 / $1,288.25	Professional		$512.86	$776.25	$1,288.25
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,862.09 / $1,862.09	Facility		$575.44	$1,862.09	$1,862.09
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $549.54 / $676.08	Professional		$407.38	$549.54	$676.08
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $758.58 / $758.58	Facility		$676.08	$758.58	$758.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $758.58	Professional		$676.08	$676.08	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $812.83	Facility		$676.08	$676.08	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $851.14	Professional		$288.40	$407.38	$851.14