Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,479.11 / $2,398.83	Facility		$537.03	$1,479.11	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $741.31	Professional		$380.19	$467.74	$741.31
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,818.38 / $5,011.87	Facility		$2,089.30	$2,818.38	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $954.99 / $1,995.26	Facility		$389.05	$954.99	$1,995.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $562.34 / $870.96	Professional		$251.19	$562.34	$870.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $338.84 / $831.76	Professional		$275.42	$338.84	$831.76
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Facility		$575.44	$575.44	$575.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $489.78 / $1,000.00	Professional		$436.52	$489.78	$1,000.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,445.44 / $2,398.83	Facility		$537.03	$1,445.44	$2,398.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $489.78 / $1,698.24	Professional		$380.19	$489.78	$1,698.24
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $575.44 / $630.96	Facility		$467.74	$575.44	$630.96
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $575.44 / $630.96	Professional		$467.74	$575.44	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $575.44 / $691.83	Facility		$295.12	$575.44	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $346.74 / $870.96	Professional		$245.47	$346.74	$870.96