Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,000.00 / $1,698.24	Facility		$501.19	$1,000.00	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $446.68	Professional		$234.42	$316.23	$446.68
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $537.03 / $1,348.96	Facility		$263.03	$537.03	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $562.34	Professional		$446.68	$446.68	$562.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $229.09 / $562.34	Professional		$181.97	$229.09	$562.34
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $389.05 / $676.08	Professional		$331.13	$389.05	$676.08
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,000.00 / $1,698.24	Facility		$457.09	$1,000.00	$1,698.24
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $331.13 / $1,380.38	Professional		$257.04	$331.13	$1,380.38
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $426.58 / $1,047.13	Facility		$389.05	$426.58	$1,047.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $1,047.13	Professional		$346.74	$426.58	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $389.05 / $467.74	Facility		$213.80	$389.05	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $588.84	Professional		$165.96	$234.42	$588.84