Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $436.52 / $616.60	Facility		$194.98	$436.52	$616.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $165.96	Professional		$100.00	$123.03	$165.96
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $269.15	Professional		$154.88	$154.88	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $263.03 / $512.86	Facility		$147.91	$263.03	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $426.58	Professional		$208.93	$269.15	$426.58
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $346.74	Professional		$123.03	$213.80	$346.74
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $501.19 / $616.60	Facility		$208.93	$501.19	$616.60
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $123.03 / $501.19	Professional		$100.00	$123.03	$501.19
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $181.97 / $181.97	Facility		$147.91	$181.97	$181.97
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $181.97 / $309.03	Professional		$147.91	$181.97	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $239.88	Facility		$199.53	$199.53	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $208.93	Professional		$63.10	$89.13	$208.93