Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,754.40 / $8,511.38	Facility		$831.76	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $112.20	Professional		$60.26	$95.50	$112.20
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 $85.11 / $100.00 / $162.18	Professional		$85.11	$100.00	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $489.78	Professional		$117.49	$128.82	$489.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $173.78	Professional		$64.57	$75.86	$173.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $165.96 / $316.23	Professional		$81.28	$165.96	$316.23
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $112.20	Professional		$60.26	$91.20	$112.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $69.18 / $100.00	Facility		$11.48	$69.18	$100.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $467.74	Professional		$51.29	$97.72	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $676.08 / $4,265.80	Facility		$144.54	$676.08	$4,265.80
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $173.78	Professional		$81.28	$114.82	$173.78