Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $630.96 / $1,202.26	Facility		$223.87	$630.96	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $616.60	Professional		$223.87	$309.03	$616.60
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 / $363.08	Professional		$363.08	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $162.18 / $436.52	Facility		$61.66	$162.18	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $131.83	Professional		$104.71	$104.71	$131.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $67.61	Professional		$64.57	$64.57	$67.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $416.87	Facility		$275.42	$275.42	$416.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $588.84 / $1,230.27	Facility		$223.87	$588.84	$1,230.27
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $630.96	Professional		$223.87	$309.03	$630.96
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $281.84	Facility		$181.97	$181.97	$281.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $281.84 / $281.84	Professional		$181.97	$281.84	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $457.09 / $602.56	Facility		$234.42	$457.09	$602.56
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26