Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,819.70 / $2,951.21	Facility		$977.24	$1,819.70	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $724.44	Professional		$467.74	$575.44	$724.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $977.24 / $2,454.71	Facility		$478.63	$977.24	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,023.29	Professional		$831.76	$831.76	$1,023.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $426.58 / $1,047.13	Professional		$338.84	$426.58	$1,047.13
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $630.96 / $1,258.93	Professional		$537.03	$630.96	$1,258.93
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $2,951.21	Facility		$1,023.29	$1,819.70	$2,951.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $1,819.70	Professional		$478.63	$588.84	$1,819.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $794.33	Facility		$724.44	$724.44	$794.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $724.44 / $794.33	Professional		$257.04	$724.44	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $724.44 / $870.96	Facility		$398.11	$724.44	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $1,071.52	Professional		$302.00	$436.52	$1,071.52