Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $165.96 / $281.84	Facility		$81.28	$165.96	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $52.48 / $74.13	Professional		$41.69	$52.48	$74.13
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 / $89.13 / $218.78	Facility		$42.66	$89.13	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $93.33	Professional		$74.13	$74.13	$93.33
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 / $56.23 / $112.20	Professional		$47.86	$56.23	$112.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $165.96 / $281.84	Facility		$75.86	$165.96	$281.84
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 $21.38 / $72.44 / $309.03	Facility		$21.38	$72.44	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $72.44 / $141.25	Professional		$21.38	$72.44	$141.25
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 / $117.49	Professional		$26.92	$38.90	$117.49