Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,248.07 / $15,488.17	Facility		$1,380.38	$5,248.07	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $933.25 / $1,819.70	Professional		$707.95	$933.25	$1,819.70
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $5,011.87 / $77,624.71	Facility		$870.96	$5,011.87	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $870.96 / $1,412.54	Professional		$831.76	$870.96	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,454.71 / $6,456.54	Facility		$1,096.48	$2,454.71	$6,456.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,513.56 / $2,570.40	Professional		$1,288.25	$1,513.56	$2,570.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,047.13 / $1,412.54	Professional		$1,000.00	$1,047.13	$1,412.54
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $9,549.93 / $9,549.93	Facility		$9,549.93	$9,549.93	$9,549.93
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,230.27 / $1,659.59	Professional		$1,174.90	$1,230.27	$1,659.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,548.13 / $7,585.78	Facility		$1,380.38	$3,548.13	$7,585.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $912.01 / $1,819.70	Professional		$707.95	$912.01	$1,819.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $812.83 / $1,148.15	Facility		$707.95	$812.83	$1,148.15
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $933.25	Professional		$537.03	$812.83	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,630.78 / $4,466.84	Facility		$1,905.46	$3,630.78	$4,466.84
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,548.82	Professional		$707.95	$977.24	$1,548.82