Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,148.15 / $1,905.46	Facility		$630.96	$1,148.15	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $537.03	Professional		$302.00	$371.54	$537.03
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $630.96 / $1,584.89	Facility		$309.03	$630.96	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $660.69	Professional		$537.03	$537.03	$660.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $275.42 / $676.08	Professional		$218.78	$275.42	$676.08
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $812.83	Professional		$398.11	$467.74	$812.83
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,148.15 / $1,905.46	Facility		$660.69	$1,148.15	$1,905.46
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $1,148.15	Professional		$309.03	$380.19	$1,148.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $512.86 / $512.86	Facility		$467.74	$512.86	$512.86
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $512.86	Professional		$309.03	$467.74	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $467.74 / $562.34	Facility		$257.04	$467.74	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $691.83	Professional		$194.98	$275.42	$691.83