Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,691.53 / $8,317.64	Facility		$1,000.00	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $870.96 / $1,288.25	Professional		$223.87	$870.96	$1,288.25
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 $173.78 / $194.98 / $204.17	Professional		$173.78	$194.98	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7,943.28 / $7,943.28 / $7,943.28	Professional		$7,943.28	$7,943.28	$7,943.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $2,137.96	Professional		$851.14	$851.14	$2,137.96
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,344.23 / $8,317.64	Facility		$724.44	$2,344.23	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $870.96 / $1,412.54	Professional		$223.87	$870.96	$1,412.54
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $645.65 / $724.44	Facility		$588.84	$645.65	$724.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $724.44	Professional		$478.63	$691.83	$724.44
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 $645.65 / $912.01 / $1,621.81	Professional		$645.65	$912.01	$1,621.81