Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,949.84 / $2,951.21	Facility		$977.24	$1,949.84	$2,951.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $691.83	Professional		$436.52	$588.84	$691.83
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 $562.34 / $562.34 / $1,148.15	Professional		$562.34	$562.34	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,148.15 / $2,454.71	Facility		$707.95	$1,148.15	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $977.24 / $1,548.82	Professional		$758.58	$977.24	$1,548.82
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $831.76 / $1,348.96	Professional		$537.03	$831.76	$1,348.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $2,398.83	Facility		$1,698.24	$1,698.24	$2,398.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,819.70 / $2,951.21	Facility		$977.24	$1,819.70	$2,951.21
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $588.84 / $1,819.70	Professional		$436.52	$588.84	$1,819.70
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $794.33	Facility		$724.44	$724.44	$794.33
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $724.44 / $794.33	Professional		$478.63	$724.44	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $870.96	Facility		$724.44	$724.44	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $436.52 / $891.25	Professional		$302.00	$436.52	$891.25