Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $281.84 / $467.74	Facility		$154.88	$281.84	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $128.82	Professional		$72.44	$89.13	$128.82
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $154.88 / $380.19	Facility		$74.13	$154.88	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $162.18	Professional		$128.82	$128.82	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $162.18	Professional		$52.48	$66.07	$162.18
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $112.20 / $194.98	Professional		$95.50	$112.20	$194.98
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $281.84 / $467.74	Facility		$158.49	$281.84	$467.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $91.20 / $398.11	Professional		$74.13	$91.20	$398.11
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $123.03 / $141.25	Facility		$112.20	$123.03	$141.25
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $112.20 / $141.25	Professional		$36.31	$112.20	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $112.20 / $134.90	Facility		$61.66	$112.20	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $169.82	Professional		$46.77	$67.61	$169.82