Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $676.08 / $1,071.52	Facility		$302.00	$676.08	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $281.84	Professional		$162.18	$199.53	$281.84
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 $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $380.19 / $851.14	Facility		$165.96	$380.19	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $354.81	Professional		$281.84	$281.84	$354.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $354.81	Professional		$114.82	$144.54	$354.81
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $426.58	Professional		$186.21	$229.09	$426.58
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $676.08 / $1,071.52	Facility		$275.42	$676.08	$1,071.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $870.96	Professional		$162.18	$208.93	$870.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $245.47 / $269.15	Facility		$91.20	$245.47	$269.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $245.47 / $269.15	Professional		$91.20	$245.47	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $245.47 / $295.12	Facility		$134.90	$245.47	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $371.54	Professional		$104.71	$147.91	$371.54