Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,754.40 / $8,511.38	Facility		$831.76	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $575.44 / $1,659.59	Professional		$173.78	$575.44	$1,659.59
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 $933.25 / $1,096.48 / $1,778.28	Professional		$933.25	$1,096.48	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,659.59	Professional		$1,513.56	$1,513.56	$1,659.59
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $1,659.59	Professional		$1,122.02	$1,479.11	$1,659.59
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,265.80 / $8,317.64	Facility		$831.76	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $602.56 / $1,949.84	Professional		$173.78	$602.56	$1,949.84
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,023.29	Facility		$691.83	$691.83	$1,023.29
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $724.44 / $1,071.52	Professional		$691.83	$724.44	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,570.40 / $6,760.83	Facility		$660.69	$2,570.40	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $1,023.29 / $1,949.84	Professional		$549.54	$1,023.29	$1,949.84