Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $61.66	Professional		$38.02	$52.48	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $213.80 / $257.04	Facility		$117.49	$213.80	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $190.55	Professional		$53.70	$75.86	$190.55
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $61.66	Professional		$34.67	$52.48	$61.66
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $43.65 / $61.66	Facility		$6.31	$43.65	$61.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $52.48 / $190.55	Professional		$13.18	$52.48	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $275.42 / $338.84	Facility		$144.54	$275.42	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $107.15	Professional		$48.98	$64.57	$107.15