Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,570.40 / $4,168.69	Facility		$1,148.15	$2,570.40	$4,168.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $1,096.48	Professional		$575.44	$776.25	$1,096.48
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $4,570.88 / $6,456.54	Facility		$3,467.37	$4,570.88	$6,456.54
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $1,548.82	Professional		$741.31	$741.31	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,513.56 / $3,235.94	Facility		$933.25	$1,513.56	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,041.74	Professional		$1,000.00	$1,288.25	$2,041.74
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,047.13 / $1,778.28	Professional		$707.95	$1,047.13	$1,778.28
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,398.83 / $3,981.07	Facility		$1,122.02	$2,398.83	$3,981.07
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $776.25 / $2,818.38	Professional		$575.44	$776.25	$2,818.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,047.13	Facility		$954.99	$954.99	$1,047.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $977.24	Professional		$954.99	$954.99	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $1,148.15	Facility		$954.99	$954.99	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,174.90	Professional		$398.11	$575.44	$1,174.90