Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $5,370.32 / $8,511.38	Facility		$724.44	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $288.40	Professional		$131.83	$186.21	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
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 $54,954.09 / $64,565.42 / $64,565.42	Professional		$54,954.09	$64,565.42	$64,565.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $436.52 / $1,023.29	Professional		$398.11	$436.52	$1,023.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $446.68 / $537.03	Professional		$316.23	$446.68	$537.03
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $977.24	Professional		$302.00	$407.38	$977.24
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $4,265.80 / $8,317.64	Facility		$724.44	$4,265.80	$8,317.64
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $186.21 / $309.03	Professional		$120.23	$186.21	$309.03
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $309.03 / $851.14	Facility		$213.80	$309.03	$851.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $851.14	Professional		$218.78	$309.03	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $2,818.38 / $6,025.60	Facility		$588.84	$2,818.38	$6,025.60
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $295.12 / $524.81	Professional		$199.53	$295.12	$524.81