Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
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 $457.09 / $478.63 / $478.63	Professional		$457.09	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
Johns Hopkins Employer Health Plan Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $128.82 / $426.58	Facility		$95.50	$128.82	$426.58
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $128.82 / $426.58	Professional		$95.50	$128.82	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,288.25 / $1,584.89	Facility		$660.69	$1,288.25	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $870.96	Professional		$426.58	$549.54	$870.96