Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $81.28 / $138.04	Facility		$39.81	$81.28	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $36.31	Professional		$19.95	$25.12	$36.31
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $47.86 / $109.65	Facility		$21.38	$47.86	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $45.71	Professional		$36.31	$36.31	$45.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $45.71	Professional		$14.79	$18.62	$45.71
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $54.95	Professional		$26.92	$31.62	$54.95
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $81.28 / $138.04	Facility		$37.15	$81.28	$138.04
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $112.20	Professional		$20.89	$25.70	$112.20
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $33.88	Facility		$31.62	$31.62	$33.88
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.88 / $162.18	Professional		$29.51	$33.88	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $31.62 / $38.02	Facility		$17.38	$31.62	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.05 / $47.86	Professional		$13.18	$19.05	$47.86