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 $107.15 / $120.23 / $398.11	Professional		$107.15	$120.23	$398.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $4,466.84 / $57,543.99	Facility		$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $223.87	Professional		$109.65	$199.53	$223.87
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $173.78	Professional		$147.91	$173.78	$173.78
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 $109.65 / $138.04 / $1,230.27	Professional		$109.65	$138.04	$1,230.27
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $79.43 / $120.23	Facility		$54.95	$79.43	$120.23
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $457.09	Professional		$54.95	$79.43	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,630.27 / $5,495.41	Facility		$1,000.00	$2,630.27	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $245.47	Professional		$117.49	$154.88	$245.47