Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $2,344.23 / $4,365.16	Facility		$407.38	$2,344.23	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $977.24 / $2,089.30	Professional		$741.31	$977.24	$2,089.30
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $676.08	Professional		$363.08	$363.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $1,096.48 / $3,715.35	Facility		$32.36	$1,096.48	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $1,230.27 / $1,621.81	Professional		$478.63	$1,230.27	$1,621.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $389.05 / $954.99	Professional		$309.03	$389.05	$954.99
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $436.52	Professional		$346.74	$346.74	$436.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,778.28	Facility		$1,174.90	$1,174.90	$1,778.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,089.30 / $4,365.16	Facility		$812.83	$2,089.30	$4,365.16
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $2,511.89	Professional		$707.95	$977.24	$2,511.89
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $977.24 / $977.24	Professional		$380.19	$977.24	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $501.19 / $602.56	Facility		$269.15	$501.19	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $741.31 / $1,778.28	Professional		$389.05	$741.31	$1,778.28