Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $138.04 / $218.78	Facility		$46.77	$138.04	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $125.89	Professional		$37.15	$41.69	$125.89
Capital Blue Cross Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $354.81 / $5,011.87	Facility		$269.15	$354.81	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $50.12	Professional		$39.81	$39.81	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $77.62 / $173.78	Facility		$33.88	$77.62	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $77.62	Professional		$28.84	$57.54	$77.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $72.44	Professional		$23.99	$29.51	$72.44
Geisinger Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Geisinger Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $87.10	Professional		$50.12	$56.23	$87.10
Martin's Point Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $131.83 / $223.87	Facility		$46.77	$131.83	$223.87
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.77 / $186.21	Professional		$37.15	$46.77	$186.21
UPMC Health Plan Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $72.44 / $72.44	Facility		$50.12	$72.44	$72.44
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $72.44 / $75.86	Professional		$50.12	$72.44	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $50.12 / $60.26	Facility		$33.88	$50.12	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $33.11 / $87.10	Professional		$22.91	$33.11	$87.10