Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $977.24 / $1,479.11	Facility		$9.77	$977.24	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $288.40 / $354.81	Professional		$3.98	$288.40	$354.81
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Professional		$281.84	$281.84	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $549.54 / $1,230.27	Facility		$239.88	$549.54	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $512.86	Professional		$407.38	$407.38	$512.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $208.93 / $512.86	Professional		$169.82	$208.93	$512.86
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $354.81 / $616.60	Professional		$302.00	$354.81	$616.60
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $891.25 / $1,479.11	Facility		$9.77	$891.25	$1,479.11
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $288.40 / $891.25	Professional		$3.98	$288.40	$891.25
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $389.05 / $389.05	Facility		$354.81	$389.05	$389.05
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $389.05	Professional		$309.03	$354.81	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $354.81 / $426.58	Facility		$194.98	$354.81	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $213.80 / $537.03	Professional		$151.36	$213.80	$537.03