Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $151.36 / $245.47	Facility		$52.48	$151.36	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $251.19	Professional		$41.69	$50.12	$251.19
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $389.05 / $5,011.87	Facility		$295.12	$389.05	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $54.95	Professional		$43.65	$43.65	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $87.10 / $190.55	Facility		$37.15	$87.10	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $53.70 / $83.18	Professional		$25.70	$53.70	$83.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $56.23 / $81.28	Professional		$26.30	$56.23	$81.28
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $63.10 / $97.72	Professional		$56.23	$63.10	$97.72
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $147.91 / $251.19	Facility		$52.48	$147.91	$251.19
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $229.09	Professional		$41.69	$56.23	$229.09
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $77.62 / $77.62	Facility		$56.23	$77.62	$77.62
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $144.54	Professional		$56.23	$77.62	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $56.23 / $67.61	Facility		$37.15	$56.23	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $97.72	Professional		$25.12	$36.31	$97.72