Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $741.31 / $1,148.15	Facility		$363.08	$741.31	$1,148.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $245.47 / $269.15	Professional		$204.17	$245.47	$269.15
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $436.52 / $933.25	Facility		$269.15	$436.52	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $371.54 / $602.56	Professional		$288.40	$371.54	$602.56
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $691.83	Professional		$295.12	$457.09	$691.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $691.83 / $1,148.15	Facility		$380.19	$691.83	$1,148.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $245.47 / $691.83	Professional		$213.80	$245.47	$691.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $302.00 / $302.00	Facility		$275.42	$302.00	$302.00
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $302.00	Professional		$275.42	$275.42	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $331.13	Facility		$275.42	$275.42	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $165.96 / $346.74	Professional		$114.82	$165.96	$346.74