Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,174.90 / $1,513.56	Facility		$501.19	$1,174.90	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $691.83	Professional		$501.19	$501.19	$691.83
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $537.03 / $5,011.87	Facility		$457.09	$537.03	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Professional		$512.86	$512.86	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $870.96	Professional		$741.31	$870.96	$870.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,000.00 / $1,513.56	Facility		$501.19	$1,000.00	$1,513.56
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $1,380.38	Professional		$501.19	$501.19	$1,380.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $478.63 / $562.34	Facility		$407.38	$478.63	$562.34
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $416.87 / $562.34	Professional		$309.03	$416.87	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $691.83	Professional		$501.19	$501.19	$691.83