Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,786.30 / $8,317.64	Facility		$1,202.26	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $4,168.69 / $7,244.36	Professional		$616.60	$4,168.69	$7,244.36
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 $467.74 / $549.54 / $891.25	Professional		$467.74	$549.54	$891.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12,589.25 / $12,589.25 / $21,379.62	Professional		$12,589.25	$12,589.25	$21,379.62
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,000.00 / $10,715.19	Professional		$912.01	$1,000.00	$10,715.19
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $3,981.07 / $8,317.64	Facility		$1,023.29	$3,981.07	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $4,073.80 / $6,606.93	Professional		$630.96	$4,073.80	$6,606.93
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,047.13 / $1,047.13	Facility		$741.31	$1,047.13	$1,047.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,047.13 / $11,481.54	Professional		$741.31	$1,047.13	$11,481.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $8,128.31 / $35,481.34	Facility		$3,311.31	$8,128.31	$35,481.34
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,288.25	Professional		$407.38	$616.60	$1,288.25