Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,691.53 / $8,317.64	Facility		$831.76	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $371.54	Professional		$60.26	$89.13	$371.54
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 $77.62 / $91.20 / $151.36	Professional		$77.62	$91.20	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $457.09	Professional		$109.65	$120.23	$457.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $162.18	Professional		$60.26	$70.79	$162.18
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $151.36 / $295.12	Professional		$69.18	$151.36	$295.12
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,344.23 / $8,317.64	Facility		$660.69	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $660.69	Professional		$60.26	$89.13	$660.69
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $60.26 / $91.20	Facility		$28.84	$60.26	$91.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $60.26 / $93.33	Professional		$34.67	$60.26	$93.33
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 $75.86 / $104.71 / $162.18	Professional		$75.86	$104.71	$162.18