Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,380.38 / $2,089.30	Facility		$660.69	$1,380.38	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $562.34	Professional		$331.13	$407.38	$562.34
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $776.25 / $1,737.80	Facility		$338.84	$776.25	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $724.44	Professional		$575.44	$575.44	$724.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $724.44	Professional		$234.42	$295.12	$724.44
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $446.68 / $870.96	Professional		$380.19	$446.68	$870.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,258.93 / $2,089.30	Facility		$691.83	$1,258.93	$2,089.30
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $1,258.93	Professional		$331.13	$407.38	$1,258.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $549.54 / $549.54	Facility		$501.19	$549.54	$549.54
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $524.81 / $645.65	Professional		$501.19	$524.81	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $501.19 / $602.56	Facility		$275.42	$501.19	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $758.58	Professional		$213.80	$302.00	$758.58