Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $478.63 / $870.96	Facility		$309.03	$478.63	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $398.11	Professional		$295.12	$309.03	$398.11
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $309.03 / $5,011.87	Facility		$263.03	$309.03	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $467.74 / $794.33	Facility		$309.03	$467.74	$794.33
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $309.03 / $467.74	Professional		$295.12	$309.03	$467.74
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $416.87	Professional		$295.12	$295.12	$416.87