Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $213.80 / $338.84	Facility		$72.44	$213.80	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $144.54	Professional		$57.54	$66.07	$144.54
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $549.54 / $5,011.87	Facility		$416.87	$549.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $77.62	Professional		$61.66	$61.66	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $120.23 / $269.15	Facility		$52.48	$120.23	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $89.13 / $147.91	Professional		$54.95	$89.13	$147.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $77.62 / $112.20	Professional		$37.15	$77.62	$112.20
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $134.90	Professional		$77.62	$87.10	$134.90
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $204.17 / $346.74	Facility		$72.44	$204.17	$346.74
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $275.42	Professional		$57.54	$74.13	$275.42
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $112.20 / $112.20	Facility		$77.62	$112.20	$112.20
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $112.20	Professional		$75.86	$112.20	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $77.62 / $93.33	Facility		$52.48	$77.62	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $134.90	Professional		$33.11	$51.29	$134.90