Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $446.68 / $758.58	Facility		$218.78	$446.68	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $141.25 / $204.17	Professional		$112.20	$141.25	$204.17
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $263.03 / $588.84	Facility		$114.82	$263.03	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $199.53 / $251.19	Professional		$125.89	$199.53	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $102.33 / $251.19	Professional		$81.28	$102.33	$251.19
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $302.00	Professional		$147.91	$173.78	$302.00
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $436.52 / $758.58	Facility		$204.17	$436.52	$758.58
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $147.91 / $616.60	Professional		$114.82	$147.91	$616.60
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $177.83	Professional		$151.36	$173.78	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $173.78 / $208.93	Facility		$95.50	$173.78	$208.93
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $104.71 / $257.04	Professional		$72.44	$104.71	$257.04