Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $173.78 / $281.84	Facility		$77.62	$173.78	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $51.29 / $72.44	Professional		$41.69	$51.29	$72.44
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $100.00 / $218.78	Facility		$42.66	$100.00	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $91.20	Professional		$74.13	$74.13	$91.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $93.33	Professional		$30.20	$38.02	$93.33
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $112.20	Professional		$47.86	$64.57	$112.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $162.18 / $269.15	Facility		$75.86	$162.18	$269.15
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $229.09	Professional		$41.69	$53.70	$229.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $70.79 / $338.84	Facility		$30.20	$70.79	$338.84
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $64.57 / $338.84	Professional		$9.77	$64.57	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $64.57 / $77.62	Facility		$35.48	$64.57	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $95.50	Professional		$26.92	$38.90	$95.50