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 $213.80 / $302.00 / $416.87	Professional		$213.80	$302.00	$416.87
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 $1,258.93 / $1,412.54 / $1,479.11	Professional		$1,258.93	$1,412.54	$1,479.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
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 $213.80 / $302.00 / $416.87	Professional		$213.80	$302.00	$416.87
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $363.08 / $851.14	Facility		$257.04	$363.08	$851.14
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $851.14	Professional		$257.04	$309.03	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $10,000.00	Facility		$2,089.30	$3,981.07	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $309.03 / $524.81	Professional		$229.09	$309.03	$524.81