Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,445.44 / $2,187.76	Facility		$691.83	$1,445.44	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $588.84	Professional		$346.74	$426.58	$588.84
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $812.83 / $1,778.28	Facility		$354.81	$812.83	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $758.58	Professional		$602.56	$602.56	$758.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $309.03 / $758.58	Professional		$245.47	$309.03	$758.58
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Facility		$524.81	$524.81	$524.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $524.81 / $912.01	Professional		$446.68	$524.81	$912.01
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,318.26 / $2,187.76	Facility		$724.44	$1,318.26	$2,187.76
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $1,318.26	Professional		$346.74	$426.58	$1,318.26
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $575.44	Facility		$524.81	$524.81	$575.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $524.81 / $575.44	Professional		$239.88	$524.81	$575.44
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $524.81 / $630.96	Facility		$288.40	$524.81	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $316.23 / $794.33	Professional		$218.78	$316.23	$794.33