Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $389.05 / $549.54	Professional		$288.40	$389.05	$549.54
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 $67.61 / $676.08 / $676.08	Professional		$67.61	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $812.83	Professional		$363.08	$363.08	$812.83
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $416.87	Professional		$338.84	$338.84	$416.87
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $562.34	Professional		$316.23	$398.11	$562.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $691.83 / $707.95	Professional		$676.08	$691.83	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $245.47 / $426.58	Facility		$32.36	$245.47	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $302.00 / $602.56	Professional		$251.19	$302.00	$602.56