Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $120.23 / $190.55	Facility		$40.74	$120.23	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $117.49	Professional		$32.36	$38.02	$117.49
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $309.03 / $5,011.87	Facility		$234.42	$309.03	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $43.65	Professional		$34.67	$34.67	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $67.61 / $151.36	Facility		$29.51	$67.61	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $87.10	Professional		$32.36	$50.12	$87.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $63.10	Professional		$20.89	$25.70	$63.10
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.98 / $75.86	Professional		$43.65	$48.98	$75.86
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $114.82 / $194.98	Facility		$40.74	$114.82	$194.98
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $162.18	Professional		$32.36	$41.69	$162.18
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $61.66 / $61.66	Facility		$43.65	$61.66	$61.66
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $61.66 / $63.10	Professional		$35.48	$61.66	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $43.65 / $52.48	Facility		$29.51	$43.65	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $75.86	Professional		$19.95	$29.51	$75.86