Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $741.31 / $1,202.26	Facility		$398.11	$741.31	$1,202.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $549.54	Professional		$389.05	$389.05	$549.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $426.58 / $5,011.87	Facility		$363.08	$426.58	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $676.08 / $676.08	Professional		$588.84	$676.08	$676.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $676.08 / $1,202.26	Facility		$398.11	$676.08	$1,202.26
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $1,023.29	Professional		$354.81	$398.11	$1,023.29
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $416.87 / $457.09	Facility		$354.81	$416.87	$457.09
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $416.87 / $457.09	Professional		$354.81	$416.87	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $537.03	Professional		$389.05	$389.05	$537.03