Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $52.48	Facility		$21.88	$21.88	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $104.71	Professional		$42.66	$67.61	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $43.65 / $269.15	Professional		$21.88	$43.65	$269.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $138.04	Professional		$67.61	$83.18	$138.04
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $52.48 / $52.48	Facility		$21.88	$52.48	$52.48
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $67.61 / $107.15	Professional		$40.74	$67.61	$107.15
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $42.66 / $46.77	Facility		$33.11	$42.66	$46.77
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $46.77	Professional		$33.88	$42.66	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $141.25	Professional		$38.02	$57.54	$141.25