Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $407.38 / $691.83	Facility		$204.17	$407.38	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $128.82 / $186.21	Professional		$104.71	$128.82	$186.21
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $245.47 / $549.54	Facility		$107.15	$245.47	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $229.09	Professional		$181.97	$181.97	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $93.33 / $229.09	Professional		$75.86	$93.33	$229.09
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $158.49 / $275.42	Professional		$134.90	$158.49	$275.42
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $407.38 / $691.83	Facility		$186.21	$407.38	$691.83
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $134.90 / $562.34	Professional		$107.15	$134.90	$562.34
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $162.18 / $457.09	Professional		$141.25	$162.18	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $158.49 / $190.55	Facility		$87.10	$158.49	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $95.50 / $239.88	Professional		$67.61	$95.50	$239.88