Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,089.30 / $3,311.31	Facility		$933.25	$2,089.30	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $870.96	Professional		$457.09	$616.60	$870.96
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 $588.84 / $588.84 / $1,202.26	Professional		$588.84	$588.84	$1,202.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,202.26 / $2,570.40	Facility		$741.31	$1,202.26	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,630.78 / $3,630.78 / $3,630.78	Professional		$3,630.78	$3,630.78	$3,630.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,023.29 / $1,659.59	Professional		$794.33	$1,023.29	$1,659.59
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $1,445.44	Professional		$575.44	$870.96	$1,445.44
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,949.84 / $3,162.28	Facility		$891.25	$1,949.84	$3,162.28
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $616.60 / $2,238.72	Professional		$457.09	$616.60	$2,238.72
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $758.58 / $831.76	Facility		$588.84	$758.58	$831.76
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $831.76	Professional		$588.84	$758.58	$831.76
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $912.01	Facility		$758.58	$758.58	$912.01
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $954.99	Professional		$316.23	$457.09	$954.99