Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $691.83 / $1,122.02	Facility		$213.80	$691.83	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $467.74	Professional		$169.82	$204.17	$467.74
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,258.93 / $5,011.87	Facility		$933.25	$1,258.93	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $426.58	Professional		$199.53	$199.53	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $416.87 / $870.96	Facility		$251.19	$416.87	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $275.42 / $575.44	Professional		$120.23	$275.42	$575.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $331.13 / $489.78	Professional		$177.83	$331.13	$489.78
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $645.65	Professional		$275.42	$426.58	$645.65
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $660.69 / $1,071.52	Facility		$239.88	$660.69	$1,071.52
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $229.09 / $912.01	Professional		$173.78	$229.09	$912.01
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $288.40 / $288.40	Facility		$257.04	$288.40	$288.40
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $407.38	Professional		$257.04	$309.03	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $309.03	Facility		$257.04	$257.04	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $316.23	Professional		$107.15	$151.36	$316.23