Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $125.89 / $199.53	Facility		$42.66	$125.89	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.90 / $83.18	Professional		$33.88	$38.90	$83.18
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $323.59 / $5,011.87	Facility		$245.47	$323.59	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $45.71	Professional		$36.31	$36.31	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $70.79 / $158.49	Facility		$30.90	$70.79	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $52.48 / $77.62	Professional		$28.84	$52.48	$77.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $66.07	Professional		$21.88	$26.92	$66.07
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $51.29 / $79.43	Professional		$45.71	$51.29	$79.43
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $120.23 / $204.17	Facility		$42.66	$120.23	$204.17
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $169.82	Professional		$33.88	$42.66	$169.82
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $64.57 / $83.18	Facility		$45.71	$64.57	$83.18
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $64.57 / $83.18	Professional		$45.71	$64.57	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $45.71 / $54.95	Facility		$30.90	$45.71	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $79.43	Professional		$20.89	$30.20	$79.43