Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $131.83 / $218.78	Facility		$72.44	$131.83	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.69 / $57.54	Professional		$33.88	$41.69	$57.54
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $72.44 / $181.97	Facility		$35.48	$72.44	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $75.86	Professional		$60.26	$60.26	$75.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $75.86	Professional		$24.55	$30.90	$75.86
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $91.20	Professional		$37.15	$44.67	$91.20
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $131.83 / $218.78	Facility		$74.13	$131.83	$218.78
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $131.83	Professional		$34.67	$42.66	$131.83
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $57.54 / $74.13	Facility		$52.48	$57.54	$74.13
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $74.13	Professional		$46.77	$52.48	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $52.48 / $63.10	Facility		$28.84	$52.48	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $79.43	Professional		$22.39	$31.62	$79.43